Active NPI
Nuttha Ungnapatanin, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
National Provider Identifier
1467610758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- E7591
- Practice address
- 4700 Kelley Hwy
Fort Smith, AR 72904-5024 - Phone
- (479) 709-7460
- Fax
- (479) 573-7991
- NPI assigned
- May 23, 2008
- Last updated
- Nov 20, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-052-303 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | E7591 | AR | Primary |
Addresses
Primary practice location
4700 Kelley Hwy
Fort Smith, AR 72904-5024
Mailing address
PO Box 2319
Atlanta, GA 30301-2319
Phone (479) 709-7399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193701001 | Medicaid | AR | |
| 200457640A | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-052-303 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1467610758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2319",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303012319",
"telephone_number": "479-709-7399",
"fax_number": "479-709-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 KELLEY HWY",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729045024",
"telephone_number": "479-709-7460",
"fax_number": "479-573-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGNAPATANIN",
"first_name": "NUTTHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-052-303",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AR",
"license": "E7591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193701001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200457640A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
- Henry Joseph Udouj III, D.D.S.
- John C. Udouj, D.M.D.
- Stan M Udouj, D.M.D.
- Judith Nneka Ugwu Erugo, MD
- Ndidibuike N Ukwe, MD
- Union Medical Supply,LLC
- Uniquely Integrated Counseling and Consulting LLC
- United Pain Care Fort Smith
- University of Arkansas for Medical Sciences (AHEC Family Medical Center)
- University of Arkansas for Medical Sciences
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.