Active NPI
Anunya Hiranrattana, M.D.
- Pediatric Pulmonology Physician
- Lakeland, FL
National Provider Identifier
1174739619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- ME168036
- Practice address
- 2104 Lakeland Hills Blvd
Lakeland, FL 33805-2906 - Phone
- (407) 898-2767
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Pulmonology Physician | 2080P0214X | Q4129 | TX | |
| Pediatric Pulmonology Physician | 2080P0214X | ME168036 | FL | Primary |
Addresses
Primary practice location
2104 Lakeland Hills Blvd
Lakeland, FL 33805-2906
Mailing address
2104 Lakeland Hills Blvd
Lakeland, FL 33805-2906
Phone (407) 898-2767
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168036 | FL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Orlando Pediatric Pulmonary and Sleep Associates PA | Pediatric Pulmonology | Past | Accepting new patients |
Locations
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Pediatric Pulmonology Physician
- Winter Park, FL
- NPI 1316010952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1174739619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052906",
"telephone_number": "407-898-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052906",
"telephone_number": "407-898-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRANRATTANA",
"first_name": "ANUNYA",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "TX",
"license": "Q4129",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "FL",
"license": "ME168036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.