Dr Ouen Pongdee MD PSC Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17332 Issued in KY

Legal business name

DR OUEN PONGDEE MD PSC INC

Practice address

3600 W Cumberland Ave
Middlesboro, KY 40965-2614

Phone

(606) 242-1428

NPI assigned

Jan 4, 2007

Last updated

Jan 28, 2011By 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. Ouen Pongdee, M.D.NPI 1154367043

Title

Radiologist

Phone

(606) 248-1320

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ouen Pongdee, MD PSC INC

  • Diagnostic Radiology Physician
  • Middlesboro, KY
  • NPI 1154367043
  Authorized official Same address or phone

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1700933611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650177",
            "telephone_number": "606-248-1320",
            "fax_number": "606-248-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652614",
            "telephone_number": "606-242-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OUEN PONGDEE MD PSC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "PONGDEE",
        "authorized_official_first_name": "OUEN",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "606-248-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "17332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65905275",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.