Apichan Pootrakul, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

13567 Issued in AZ

Practice address

13188 N 103Rd Dr
Ste. 206
Sun City, AZ 85351-3064

Phone

(623) 972-3001

Fax

(623) 933-3045

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Sun Health Corporation

  • Clinic/Center
  • Sun City, AZ
  • NPI 1568412658
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1114909967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53568",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850723568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13188 N 103RD DR",
            "address_2": "STE. 206",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513064",
            "telephone_number": "623-972-3001",
            "fax_number": "623-933-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOTRAKUL",
        "first_name": "APICHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "13567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204727",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pisacano, SCHOOL PSYCHOLOGIST
• Daniela Plascencia, BCBA
• Robert Plass, M.D
• Dedrie M Polakof, DPM
• Aleksey Polyakov, D.C.
• Virginia Pop, CPHT CERTIFIED PHARM
• Ron L Porter, OT
• Jessica Julia Powell, PSY. D.
• Jessica B Powers
• Pravin T. Patel, M.D., P.C.

• Neurological Surgery Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.