Chotchai Srisuro, M.D., Inc.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

33186 Issued in MO

Legal business name

CHOTCHAI SRISURO, M.D., INC.

Practice address

1011 Bowles Ave
Suite G10
Fenton, MO 63026-2387

Phone

(636) 496-5450

Fax

(636) 496-4963

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chotchai Srisuro, M.D.

Title

President

Phone

(314) 518-3665

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Florence Michelle Almiron-Torralba, MD

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1518939891
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1467688937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE G10",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262387",
            "telephone_number": "636-496-5450",
            "fax_number": "636-496-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE G10",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262387",
            "telephone_number": "636-496-5450",
            "fax_number": "636-496-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOTCHAI SRISURO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "SRISURO",
        "authorized_official_first_name": "CHOTCHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-518-3665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "33186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractic Wellness Center
• Chiropractic Wellness Center of St Louis LLC (Chiropractic Wellness Center of South County)
• Anthony Clark, D.D.S.
• Victor Lee Clark, D.M.D.
• Clarkson Optometry Inc (Clarkson Eyecare)
• Clayton R Perry, MD PC
• Caitlin Clote, LCSW

• Gynecologic Oncology Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Gynecologic Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.