Individual provider Active NPI

Narong Chalothorn, MD

  • Obstetrics & Gynecology Physician
  • Paintsville, KY
National Provider Identifier
1073507349
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19367 Issued in KY
Practice address
609 James Trimble Blvd
Paintsville, KY 41240-1055
Phone
(606) 789-6844
Fax
(606) 789-4157
NPI assigned
Sep 1, 2005
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19367 KY Primary

Addresses

Primary practice location

609 James Trimble Blvd
Paintsville, KY 41240-1055

Mailing address

609 James Trimble Blvd
Paintsville, KY 41240-1055
Phone (606) 789-6844

Other identifiers 1

IdentifierTypeStateIssuer
64193675MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1073507349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 JAMES TRIMBLE BLVD",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401055",
            "telephone_number": "606-789-6844",
            "fax_number": "606-789-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 JAMES TRIMBLE BLVD",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401055",
            "telephone_number": "606-789-6844",
            "fax_number": "606-789-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALOTHORN",
        "first_name": "NARONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "19367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193675",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.