Roengsak Tulathimutte, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

47834 Issued in MA

Practice address

575 Beech St
Anesthesia Dept
Holyoke, MA 01040-2223

Phone

(413) 534-2845

NPI assigned

Aug 19, 2006

Last updated

Aug 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1073627600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S SYCAMORE KNLS",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751112",
            "telephone_number": "413-534-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "address_2": "ANESTHESIA DEPT",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULATHIMUTTE",
        "first_name": "ROENGSAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "47834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "HX4518",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawa Tsering
• Mikhail Y Tsesis, DDS
• Tianchi Tu, DMD
• Zariah Tucci
• Khadija Tuitt, DNP-PMHNP
• David Dawson Tupponce, MD
• Maurice E Turner
• Donna J. Tyler, LCSW
• Rachel Tynan
• Paula Um

• Anesthesiology Physician in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.