Organization Active NPI

Urairong Rattanakorn Arnp Inc

  • Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1316260987
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
URAIRONG RATTANAKORN ARNP INC
Practice address
7031 SW 62ND Ave
South Miami, FL 33143-4701
Phone
(305) 284-7500
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Urairong Rattanakorn, ARNPNPI 1104018589
Title
Owner
Phone
(786) 556-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7031 SW 62ND Ave
South Miami, FL 33143-4701

Mailing address

14001 NW 4TH St
Suite 202
Pembroke Pines, FL 33028-2297
Phone (786) 556-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100708000212 FL Part B Supplier - Clinic/Group Practice 5991836926 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; North Bay Village, FL; N Miami Beach, FL; Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1316260987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 NW 4TH ST",
            "address_2": "SUITE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282297",
            "telephone_number": "786-556-1422",
            "fax_number": "954-391-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701",
            "telephone_number": "305-284-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URAIRONG RATTANAKORN ARNP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "RATTANAKORN",
        "authorized_official_first_name": "URAIRONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-556-1422",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.