S SONGCHAROEN MD FACS PLLC NPI 1215100599

NPI Information

  • NPI: 1215100599
  • Provider Name: S SONGCHAROEN MD, FACS, PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 971 LAKELAND DR
    SUITE 315
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 981-2525

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NPI Details

S SONGCHAROEN MD, FACS, PLLC is a plastic and reconstructive surgery surgery in Jackson, MS. The provider is a surgeon who specializes in plastic and reconstructive surgery. S SONGCHAROEN MD, FACS, PLLC NPI is 1215100599. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

971 LAKELAND DR
SUITE 315
JACKSON, MS
ZIP 39216-643
Phone: (601) 981-2525
Fax: (601) 981-3152

The provider's authorized official is Songcharoen Songcharoen .
The authorized official title is Owner and has the following contact phone number (601) 981-2525.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 10/8/2008.

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
12086S0105XSurgerySurgery of the HandNo
2208200000XPlastic SurgeryNo
32082S0105XPlastic SurgerySurgery of the HandNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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
11689615486OTHERMISSISSIPPINPI INDIVIDUAL NUMBER
2371563401FOTHERMISSISSIPPIBCBS OF MS
3240000080MEDICARE PINMISSISSIPPI
4D00809MEDICARE UPIN
5240007802OTHERMISSISSIPPIRR MEDICARE
600015584MEDICAIDMISSISSIPPI

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: 3/30/2025

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