Active NPI
Penput Tangsintanapas, M.D.
- Rheumatology Physician
- Bay City, MI
National Provider Identifier
1750444337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 035567
- Practice address
- 1484 Straits Dr
Ste 5
Bay City, MI 48706-8718 - Phone
- (989) 667-8740
- Fax
- (989) 667-8745
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 035567 | MI | Primary |
Addresses
Primary practice location
1484 Straits Dr
Ste 5
Bay City, MI 48706-8718
Mailing address
PO Box 1500
Novi, MI 48376-1500
Phone (248) 248-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1546674 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035567 | MI | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1750444337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1500",
"city": "NOVI",
"state": "MI",
"postal_code": "483761500",
"telephone_number": "248-248-0700",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 STRAITS DR",
"address_2": "STE 5",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487068718",
"telephone_number": "989-667-8740",
"fax_number": "989-667-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGSINTANAPAS",
"first_name": "PENPUT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "035567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1546674",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.