Aniraphone Laochareun

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12000 Issued in TX

Practice address

1251 E Red Bird LN
Dallas, TX 75241-2008

Phone

(214) 374-0827

Fax

(214) 374-0927

NPI assigned

Apr 25, 2018

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: aniraphone.loachareun@ipn.eclinicaldirectplus.com
• Direct secure messaging: alaochareun28106@shannonhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Imed Physician Network, Inc.

  • Interventional Pain Medicine Physician
  • Lancaster, TX
  • NPI 1063809465
  Medicare reassignment Care Compare group
• Redbird Wellness PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1285064774
  NPD (past)
• Waterstone Wellness, PLLC

  dba AlphaHealth Medical Associates

  • Internal Medicine Physician
  • Duncanville, TX
  • NPI 1396250221
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1093203176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008",
            "telephone_number": "214-374-0827",
            "fax_number": "214-374-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAOCHAREUN",
        "first_name": "ANIRAPHONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB #",
            "identifier": "PA12000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sky Taylor Lantrip, SLP-ASSISTANT
• Anber Lantz, CRC, NCC, LPC-INTERN
• Ashley Melissa Lao, MD
• Katy Lao
• Melody Lao, MD
• Carlos A Laos, M.D.
• Kelli Ann Laos, LCSW
• Lap Band Solutions Center for Diagnostics
• Ida J Lapinid, RN
• Molly Lapinski, DPT

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.