DR. THANOM TEMIYASATHIT M.D. NPI 1023041175

NPI Information

NPI: 1023041175
Provider Name: DR. THANOM TEMIYASATHIT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1302 FRANKLIN AVE
SUITE 4500
NORMAL, IL
ZIP 61761
Phone: (309) 828-1166
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DR. Thanom Temiyasathit, M.D. is a cardiovascular disease internal medicine in Normal, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Thanom Temiyasathit, M.D. NPI is 1023041175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1302 FRANKLIN AVE
SUITE 4500
NORMAL, IL
ZIP 61761-551
Phone: (309) 828-1166
Fax: (309) 862-0330

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00272038	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RR MEDICARE NUMBER
2	05732097	OTHER	ILLINOIS	BC GROUP NUMBER
3	212636	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP NUMBER
4	K22988	MEDICARE ID-TYPE UNSPECIFIED
5	C44731	MEDICARE UPIN
6	008003	OTHER	ILLINOIS	HEALTH ALLIANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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