Orachun Sittisuntorn, MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17947 Issued in SC

Legal business name

ORACHUN SITTISUNTORN, MD, LLC

Practice address

514 S Dargan St Ste D
Florence, SC 29506-2552

Phone

(843) 669-5956

Fax

(843) 669-2019

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Orachun Sittisuntorn, MD

Title

MD/Owner

Phone

(843) 669-5956

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1043521164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S DARGAN ST STE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062552",
            "telephone_number": "843-669-5956",
            "fax_number": "843-669-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S DARGAN ST STE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062552",
            "telephone_number": "843-669-5956",
            "fax_number": "843-669-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACHUN SITTISUNTORN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "SITTISUNTORN",
        "authorized_official_first_name": "ORACHUN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "843-669-5956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "17947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117947",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Florence, SC
• Providers in Florence, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.