Sithipol Tantihachai, MD, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

13092 Issued in TN

Legal business name

SITHIPOL TANTIHACHAI, MD, PC

Practice address

7794 Rhea County Hwy
Medivcal Professional Building, Suite 102
Dayton, TN 37321-5981

Phone

(423) 775-6550

Fax

(423) 775-6689

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By 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. Sithipol Tantihachai, MD

Title

Owner

Phone

(423) 775-6559

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710094776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7794 RHEA COUNTY HWY",
            "address_2": "MEDIVCAL PROFESSIONAL BUILDING, SUITE 102",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215981",
            "telephone_number": "423-775-6550",
            "fax_number": "423-775-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 RHEA COUNTY HWY",
            "address_2": "MEDIVCAL PROFESSIONAL BUILDING, SUITE 102",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215981",
            "telephone_number": "423-775-6550",
            "fax_number": "423-775-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITHIPOL TANTIHACHAI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANTIHACHAI",
        "authorized_official_first_name": "SITHIPOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-775-6559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "13092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.