Dr Sadtha Surattanont

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10426 Issued in WV

Legal business name

DR SADTHA SURATTANONT

Practice address

55 North Bolton St
Romney, WV 26757-1980

Phone

(304) 822-4241

Fax

(304) 822-3344

NPI assigned

May 9, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sadtha Surattanont, MD

Title

Doctor

Phone

(304) 822-4241

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1982818332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1980",
            "address_2": "55 NORTH BOLTON ST",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571980",
            "telephone_number": "303-822-4241",
            "fax_number": "304-822-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH BOLTON ST",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571980",
            "telephone_number": "304-822-4241",
            "fax_number": "304-822-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SADTHA SURATTANONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SURATTANONT",
        "authorized_official_first_name": "SADTHA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-822-4241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "10426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001720280",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127798000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA PEIA",
            "identifier": "550623785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Steven Dean
• Robyn Rena Dennington, RN
• Virginia Louise Digruttulo
• Kimberly Dipietro
• Bradley Dodson
• April Duncan
• Jennie Dunn
• E. a. Hawse Health Center, Inc. (South Branch Elementary)
• E. a. Hawse Health Center, Inc.
• E. a. Hawse Health Center, Inc. (E. a. Hawse Health Center, Inc.-Romney)

• General Practice Physician in Romney, WV
• Providers in Romney, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.