Active NPI
Vannara Sakbun Women'S Center
- Obstetrics & Gynecology Physician
- Terre Haute, IN
National Provider Identifier
1700052982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01043923A
- Legal business name
- VANNARA SAKBUN WOMEN'S CENTER
- Practice address
- 611 E Springhill Dr
Terre Haute, IN 47802-4448 - Phone
- (812) 478-9845
- Fax
- (812) 478-2074
- NPI assigned
- May 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vannara Sakbun, M.D.
- Title
- Owner
- Phone
- (812) 478-9845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01043923A | IN | Primary |
Addresses
Primary practice location
611 E Springhill Dr
Terre Haute, IN 47802-4448
Mailing address
611 E Springhill Dr
Terre Haute, IN 47802-4448
Phone (812) 478-9845
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000572988 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200906620 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Terre Haute, IN
- NPI 1558335893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1700052982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E SPRINGHILL DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024448",
"telephone_number": "812-478-9845",
"fax_number": "812-478-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E SPRINGHILL DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024448",
"telephone_number": "812-478-9845",
"fax_number": "812-478-2074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANNARA SAKBUN WOMEN'S CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "SAKBUN",
"authorized_official_first_name": "VANNARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-478-9845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01043923A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000572988",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200906620",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.