Anupong Chotimongkol, MD
Individual provider Active NPI Gynecology Physician · Dodge City, KS
NPI 1932180403 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1932180403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 0416467 (KS)
- Practice address
- 2020 Central Avenue
Dodge City, KS 67801-1000 - Phone
- (620) 227-1371
- Fax
- (620) 227-1208
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0416467 | KS | MD | Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0416467 | KS | Yes |
Addresses
Primary practice location
2020 Central Avenue
Dodge City, KS 67801-1000
Mailing address
2020 Central Avenue
Dodge City, KS 67801-1000
Phone (620) 227-1371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100084030A | Medicaid | KS |
Other providers in Dodge City, KS
- Central Care, PA
- Central Care, PA
- Centre for Health and Wellness, P.a.
- Charlene Chacon
- Choice Midwifery, LLC
- Christensen Eyecare, P.a.
- Rob Matthew Christensen
- Barbara Clark
- James M Clements
- Kacee Coast
All providers in Dodge City, KS · Gynecology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.