Active NPI
Chucheep Sahakitrungruang, M.D.
- Colon & Rectal Surgery Physician
- Cleveland, OH
National Provider Identifier
1780855965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Practice address
- 9500 Euclid Ave Department of Colorectal Surgery A30
The Cleveland Clinic Foundation
Cleveland, OH 44195 - Phone
- (216) 444-2200
- NPI assigned
- Mar 17, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave Department of Colorectal Surgery A30
The Cleveland Clinic Foundation
Cleveland, OH 44195
Mailing address
12805 Shaker Blvd
Apt 706
Cleveland, OH 44120
Phone (216) 925-2545
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC2895437C36 | OH | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1780855965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12805 SHAKER BLVD",
"address_2": "APT 706",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44120",
"telephone_number": "216-925-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE DEPARTMENT OF COLORECTAL SURGERY A30",
"address_2": "THE CLEVELAND CLINIC FOUNDATION",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44195",
"telephone_number": "216-444-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHAKITRUNGRUANG",
"first_name": "CHUCHEEP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.