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WAROOT SHAY NIMJAREANSUK DO NPI 1356878292


NPI Information

NPI: 1356878292
Provider Name: WAROOT SHAY NIMJAREANSUK, DO
Classification: Emergency Medicine - 207PS0010X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
701 MEDICAL PLAZA DR
LEESBURG, FL
ZIP 34748
Phone: (352) 273-7002
Get Directions

Waroot Shay Nimjareansuk, DO is a sports medicine emergency medicine in Leesburg, FL with 7 years of experience. The provider is an emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. Waroot Shay Nimjareansuk, DO NPI is 1356878292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2017

The provider's business location address is:

701 MEDICAL PLAZA DR
LEESBURG, FL
ZIP 34748-313
Phone: (352) 273-7002
Fax: (352) 273-7388

The NPI 1356878292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 4/22/2024.


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
1207P00000XEmergency Medicine303251NEW YORKNo
2207P00000XEmergency MedicineOS17529FLORIDANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207PS0010XEmergency MedicineSports MedicineOS17529FLORIDAYes

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
1111181000MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.