Active NPI
Suthin Songcharoen, M.D.
- Specialist
- Flowood, MS
National Provider Identifier
1255329371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 07163
- Practice address
- 2550 Flowood Dr
#300
Flowood, MS 39232-9303 - Phone
- (601) 420-0034
- Fax
- (601) 420-5482
- NPI assigned
- Oct 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 07163 | MS | Primary |
Addresses
Primary practice location
2550 Flowood Dr
#300
Flowood, MS 39232-9303
Mailing address
2 Deerfield Dr
Madison, MS 39110-9749
Phone (601) 856-7372
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK7048 | Other | MEDICARE RAILROAD GROUP | |
| 00119405 | Medicaid | MS | |
| C03036 | Other | MEDICARE PTAN | |
| 660002223 | Other | MEDICARE RAILROAD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Rheumatology and Osteoporosis Center PLLC | Current | Accepting new patients |
Locations
2550 Flowood Dr
Ste 300
Flowood, MS 39232
Phone (601) 420-0034
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Flowood, MS
- NPI 1275062648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1255329371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DEERFIELD DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391109749",
"telephone_number": "601-856-7372",
"fax_number": "601-420-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 FLOWOOD DR",
"address_2": "#300",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329303",
"telephone_number": "601-420-0034",
"fax_number": "601-420-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONGCHAROEN",
"first_name": "SUTHIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "07163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "CK7048",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119405",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "C03036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "660002223",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Stephen R Snypes, M.D.
- Sollevamenti, PLLC
- Anna Solomon
- Soma Plastic Surgery and Hand Clinic
- Somnus Sleep Clinic of Central Mississippi, LLC (Somnus Sleep Clinic)
- Taylor South
- Southeast Regional Medical Solutions, PLLC
- Southeastern Transitional Care Management Services
- Southern Comfort Home Health Agency
- Southern Diagnostic Laboratories, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.