Boonyasai & Boonyasai, M.D.P. C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

33967 Issued in MO

Legal business name

BOONYASAI & BOONYASAI, M.D.P. C.

Practice address

200 St . Marys Street
Lower Level
Pilot Knob, MO 63663

Phone

(573) 546-3929

Fax

(573) 546-3962

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boonfu Boonyasai, M.D.NPI 1518927722

Title

President

Phone

(573) 546-3929

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boonfu Boonyasai, M.D.

  • Family Medicine Physician
  • Pilot Knob, MO
  • NPI 1518927722
  Authorized official Same address or phone

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1144406455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ST. MARYS STREET PO BOX 527",
            "address_2": "LOWER LEVEL",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "63663",
            "telephone_number": "573-546-3929",
            "fax_number": "573-546-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ST . MARYS STREET",
            "address_2": "LOWER LEVEL",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "63663",
            "telephone_number": "573-546-3929",
            "fax_number": "573-546-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONYASAI & BOONYASAI, M.D.P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "BOONYASAI",
        "authorized_official_first_name": "BOONFU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-546-3929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "33967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Valley Ambulance Service, Inc.
• Rosalie Grimes Benz, APRN-BC, FNP
• Big Springs Medical Association (Missouri Highlands Health Care)
• Big Springs Medical Association (Missouri Highlands Health Care)
• Jill Bleything, DMD
• Boonfu Boonyasai, M.D.
• Vatana C. Boonyasai, M.D/
• Harry Taylor Harness, DO
• Jami Hedrick, RDH
• Iron County Ambulance District

• General Practice Physician in Pilot Knob, MO
• Providers in Pilot Knob, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.