Organization Active NPI

Chet Phitayakorn, MD PC

  • Vascular Surgery Physician
  • Clairton, PA
National Provider Identifier
1023039229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD031414L Issued in PA
Legal business name
CHET PHITAYAKORN, MD PC
Practice address
575 Coal Valley Rd
Suite 365
Clairton, PA 15025-3730
Phone
(412) 469-7030
Fax
(412) 469-7160
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chet Phitayakorn, M.D.
Title
President
Phone
(412) 469-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MD031414L PA Primary

Addresses

Primary practice location

575 Coal Valley Rd
Suite 365
Clairton, PA 15025-3730

Mailing address

575 Coal Valley Rd
Suite 365
Clairton, PA 15025-3730
Phone (412) 469-7030

Other identifiers 1

IdentifierTypeStateIssuer
0017555940001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023039229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 365",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7030",
            "fax_number": "412-469-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 365",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7030",
            "fax_number": "412-469-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHET PHITAYAKORN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHITAYAKORN",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-469-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD031414L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017555940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.