Vanchai Vongchanyakul, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA847 Issued in OK

Practice address

3462 Hospital Rd
Healdton, OK 73438-6124

Phone

(580) 229-0701

Fax

(580) 229-1454

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duncan Regional Hospital Inc

  • Critical Access Hospital
  • Waurika, OK
  • NPI 1518405331

  OK

  Medicare reassignment NPD
• Mercy Hospital Healdton, Inc

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1568615656

  OK

  Medicare reassignment NPD
• Duncan Regional Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Duncan, OK
  • NPI 1942918214
  NPD
• Mercy Hospital Healdton, Inc.

  • Rural Health Clinic/Center
  • Healdton, OK
  • NPI 1437467388
  NPD
• Mercy Health Services Inc.

  • Medical Specialty Clinic/Center
  • Yukon, OK
  • NPI 1255398251
  NPD (past)
• Mercy Hospital El Reno, Inc

  • Emergency Medicine Physician
  • El Reno, OK
  • NPI 1083910442
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2014.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1790736932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "address_2": "SUITE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204675",
            "telephone_number": "580-436-7101",
            "fax_number": "580-436-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 HOSPITAL RD",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734386124",
            "telephone_number": "580-229-0701",
            "fax_number": "580-229-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGCHANYAKUL",
        "first_name": "VANCHAI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Sigl, PA-C
• McKotah Brice Smith, PA
• Stephen M Treadwell
• TPCH PLLC
• Stephen Treadwell, DO

• All providers in Healdton, OK
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.