Individual provider Active NPI

Suthin Songcharoen, M.D.

  • Specialist
  • Flowood, MS
National Provider Identifier
1255329371
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
07163 Issued in MS
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

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CK7048OtherMEDICARE RAILROAD GROUP
00119405MedicaidMS
C03036OtherMEDICARE PTAN
660002223OtherMEDICARE 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

OrganizationSpecialtyStatusNew patients
Mississippi Rheumatology and Osteoporosis Center PLLC CurrentSince Jun 12, 2017 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.

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

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.

Verify at the official NPI Registry.