Paul Thisayakorn, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

R-8992 Issued in IA

Practice address

815 Oakcrest St
Apt. 13
Iowa City, IA 52246-3474

Phone

(773) 782-7682

NPI assigned

Jul 12, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1770895369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 OAKCREST ST",
            "address_2": "APT. 13",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522463474",
            "telephone_number": "773-782-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OAKCREST ST",
            "address_2": "APT. 13",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522463474",
            "telephone_number": "773-782-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THISAYAKORN",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "R-8992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline Thiengmany
• Danielle Thiessen
• Madeline Catherine Thill, PHARMD
• Ryan Thill, MD
• Caitlin Kyle Thirnbeck, DO
• Renata Thoeny, MS
• Joseph Tholany, M.D.
• Scott Mathew Thoma, P.T.
• Theodosia Thoma, M.D.
• Lauren M Thomann, ARNP

• Student in an Organized Health Care Education/Training Program in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Student in an Organized Health Care Education/Training Program in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.