Siridao Laohasatit Cheng, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

00020658 Issued in AL

Practice address

10939 Al Highway 157
Moulton, AL 35650-1900

Phone

(256) 974-3390

Fax

(256) 905-0261

NPI assigned

Jun 21, 2006

Last updated

May 16, 2008By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: scheng@yourcarecommunity.org
• Direct secure messaging: siridao.cheng@attmoul.direct.medconnect-inc.com

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1194761858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356500340",
            "telephone_number": "256-974-3390",
            "fax_number": "256-905-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10939 AL HIGHWAY 157",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501900",
            "telephone_number": "256-974-3390",
            "fax_number": "256-905-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SIRIDAO",
        "middle_name": "LAOHASATIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "00020658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003401",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003994",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Cahela, LPN
• Cameron Butler Carpenter
• Dana S Carpenter, LPTA
• Charles D Coffey MD PC
• Gene Kay Cheng, M.D.
• Kelsey Leigh-Ann Clark, CRNP
• Lisa W. Cobb, CRNP-BC
• Heather Nicole Coker, COTA/L
• David Michael Cole, OD
• Celetta Coleman-Selby, MSW

• Pediatric Adolescent Medicine Physician in Moulton, AL
• Providers in Moulton, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

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