Sambhundh Panichabhongse, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-16833 Issued in KS

Practice address

222 S Kansas
RRH Physicians Clinic Ste B
Russell, KS 67665

Phone

(785) 483-3333

Fax

(785) 483-0781

NPI assigned

Sep 27, 2005

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1417943176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S. KANSAS",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "67665",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S KANSAS",
            "address_2": "RRH PHYSICIANS CLINIC STE B",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "67665",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICHABHONGSE",
        "first_name": "SAMBHUNDH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "16833",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-16833",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "16833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100084810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Moore
• Madison Jamie Murphy
• Abigail Marie Myers
• Catherine Nairn
• Christina Odle
• Sally Panis
• Caitlyn Patterson
• Paul M Lampert OD PA
• Samantha Peterson
• Olivia Pince

• Family Medicine Physician in Russell, KS
• Providers in Russell, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.