Tasanaporn Pitiyanuvath, M.D. L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

33971 Issued in MO

Legal business name

TASANAPORN PITIYANUVATH, M.D. L.L.C.

Doing business as

T.P. Children & Teens Care

Practice address

6400 Prospect Ave
Suite # 208
Kansas City, MO 64132-1100

Phone

(816) 812-3512

NPI assigned

Aug 9, 2009

Organization subpart

No

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

Authorized official

Name

Tasanaporn Pitiyanuvath, M.D.

Title

Owner

Phone

(816) 812-3512

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• T.P. Children & Teens Care Doing business as

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1588896526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7862",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662070862",
            "telephone_number": "816-812-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE",
            "address_2": "SUITE # 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321100",
            "telephone_number": "816-812-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASANAPORN PITIYANUVATH, M.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-09",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "PITIYANUVATH",
        "authorized_official_first_name": "TASANAPORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-812-3512",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "33971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201583416",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.P. Children & Teens Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marius Calin Tarau, M.D.
• Lisa Tarbell, FNP-C
• Furqan Tariq, M.B.B.S
• Brianna Marie Tarr
• James K Tarwater, D.O.
• Kirthi Tata, DDS
• Manvita Tatavarthy, MD
• Aukeysia R Tate, LCSW
• Elizabeth Amaro Tatro, PLMFT
• Ashley G Tatum, DO

• Primary Care Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.