Soontorn Thrupkaew, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036048881 Issued in IL

Practice address

2 Terminal Dr
Suite 8
East Alton, IL 62024-2268

Phone

(618) 258-0485

Fax

(618) 258-0489

NPI assigned

Oct 5, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1295821353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR",
            "address_2": "SUITE 8",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242268",
            "telephone_number": "618-258-0485",
            "fax_number": "618-258-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR",
            "address_2": "SUITE 8",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242268",
            "telephone_number": "618-258-0485",
            "fax_number": "618-258-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRUPKAEW",
        "first_name": "SOONTORN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036048881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tad J Steinhauer, D.M.D.
• Heather L Strebel, M.S. CCC-SLP
• Christopher Dean Suhre, MD
• Sathien Suntra, M.D., FACS
• TGW Management PLLC
• Sumit Tiwari, MD
• Anupama Vallala, MD
• Danny Joe Vetter, D.C.
• Joni Marie Whitfield, OTR/L
• Gregory L Wigton, D.D.S.

• Obstetrics & Gynecology Physician in East Alton, IL
• Providers in East Alton, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.