Theerapol Prasertsuntarasai MD PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

THEERAPOL PRASERTSUNTARASAI MD PA

Doing business as

West Texas Arthritis Clinic

Practice address

5609 114TH St
Lubbock, TX 79424-6985

Phone

(806) 589-1778

Fax

(806) 589-1779

NPI assigned

Mar 15, 2021

Last updated

Feb 2, 2022By 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. Theerapol Prasertsuntarasai, MDNPI 1245373380

Title

MD/Owner

Phone

(806) 589-1778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Texas Arthritis Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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.

• Theerapol Prasertsuntarasai, MD

  • Rheumatology Physician
  • Lubbock, TX
  • NPI 1245373380
  Medicare reassignment Care Compare group NPD Authorized official
• Mathew Molina

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1134809734
  Medicare reassignment Care Compare group NPD
• Christina Pauda

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1750093779

  Rheumatology

  Medicare reassignment Care Compare group NPD
• Jacqualene N Quigley, NP

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1730948530
  Medicare reassignment Care Compare group NPD
• Susan Marie Martz, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1447969498
  Medicare reassignment NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1659956308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 114TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-589-1778",
            "fax_number": "806-589-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246985",
            "telephone_number": "806-589-1778",
            "fax_number": "806-589-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEERAPOL PRASERTSUNTARASAI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "PRASERTSUNTARASAI",
        "authorized_official_first_name": "THEERAPOL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "806-589-1778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R1108",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Arthritis Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Texas Arthritis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Weston Group, Inc. (The Weston Group Health Care Group, Inc.)
• Joshua Simon Theis, MD
• Therapractic Management Systems
• Chelsea Thero, PTA
• Justin Thetford, MS, LPC-ASSOCIATE
• Thi Immediate Healthcare Staffing LLC (Hospice of the South Plains)

• Rheumatology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.