Individual provider Active NPI

Non Wajanaponsan, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1205035508
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD427838 Issued in PA
Practice address
4000 Park Plaza Dr
Apt#103
Pittsburgh, PA 15229-3123
Phone
(808) 352-8324
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD427838 PA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD13248 HI

Addresses

Primary practice location

4000 Park Plaza Dr
Apt#103
Pittsburgh, PA 15229-3123

Mailing address

4000 Park Plaza Dr
Apt#103
Pittsburgh, PA 15229-3123
Phone (808) 352-8324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD13248HIMDCritical Care Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1205035508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PARK PLAZA DR",
            "address_2": "APT#103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152293123",
            "telephone_number": "808-352-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PARK PLAZA DR",
            "address_2": "APT#103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152293123",
            "telephone_number": "808-352-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJANAPONSAN",
        "first_name": "NON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD427838",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "HI",
            "license": "MD13248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.