Active NPI
Anupong Chotimongkol, MD
- Gynecology Physician
- Dodge City, KS
National Provider Identifier
1932180403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0416467
- Practice address
- 2020 Central Avenue
Dodge City, KS 67801-1000 - Phone
- (620) 227-1371
- Fax
- (620) 227-1208
- NPI assigned
- Nov 10, 2005
- Last updated
- Jan 22, 2014
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0416467 | KS | Primary |
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
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0416467 | KS | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1932180403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CENTRAL AVENUE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678011000",
"telephone_number": "620-227-1371",
"fax_number": "620-227-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CENTRAL AVENUE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678011000",
"telephone_number": "620-227-1371",
"fax_number": "620-227-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOTIMONGKOL",
"first_name": "ANUPONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KS",
"license": "0416467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.