Surachai Supattapone, M.D., PH.D., D.PHIL.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

11491 Issued in NH

Practice address

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone

(603) 650-6060

NPI assigned

Jul 29, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1912911272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPATTAPONE",
        "first_name": "SURACHAI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., D.PHIL.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NH",
            "license": "11491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008585",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30202034",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby A Sullivan, MD
• Heena Sultan, M.D.
• Xiaonan Richard Sun, M.D., PH.D
• Pirianthini Suntharalingam, MD
• Tara R Suntoke, PA-C, PHD, MPH
• Thamolwan Surakiatchanukul, MD
• Stephen David Surgenor, M.D.
• Arief Suriawinata, M.D.
• Mary Ann Suriel, M.D.
• Sreenija Suryadevara, M.D

• Infectious Disease Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Infectious Disease Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.