Prasert Thammasithiboon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

F1271 Issued in TX

Practice address

387 W I H 10
Fort Stockton, TX 79735-2700

Phone

(432) 336-2067

Fax

(432) 336-4511

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suresh N Gadasalli M D P a

  • Cardiovascular Disease Physician
  • Odessa, TX
  • NPI 1427050780
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1669439162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 W I H 10",
            "address_2": "PO BOX 1060",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "432-336-2067",
            "fax_number": "432-336-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W I H 10",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "432-336-2067",
            "fax_number": "432-336-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMMASITHIBOON",
        "first_name": "PRASERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F1271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87881S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subodh K Mallik MD PA
• Subodh K Mallik, MD, PA
• Rosalie M Sullivan, FAMILY NURSE PRACTIT
• Sheri Jo Talley, M.D
• Irene Thammasithiboon, D.D.S.
• Prasith Thammasithiboon, D.M.D.
• Trans-Pecos Imaging, Inc.
• Kaleb Kristiano Valenzuela, OD
• Auden C Velasquez, M.D.
• Lexi Velasquez, FNP-BC

• General Practice Physician in Fort Stockton, TX
• Providers in Fort Stockton, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.