1. Home
  2. Directory
  3. Arkansas
  4. Lake Village
  5. Specialist
  6. NPI Profile

THEERASAK TUANGSITHTANON M.D.
NPI 1023038585
Specialist in Lake Village, AR

Active since July 20, 2006
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653(870) 265-5074(870) 265-5074 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theerasak Tuangsithtanon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEERASAK TUANGSITHTANON M.D. (NPI 1023038585) is an individual specialist in Lake Village, Arkansas, licensed in Arkansas (R2928) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1023038585
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTHEERASAK TUANGSITHTANONCredential: M.D.
Location Address2729 S HIGHWAY 65 82Lake Village, AR 71653-6136
Mailing Address2729 S Highway 65 82Lake Village, AR 71653-6136 · (870) 265-5074 · Fax (870) 265-5074
Phone(870) 265-5074
Fax(870) 265-5074
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023038585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · R2928
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2729 S HIGHWAY 65 82, Lake Village, AR 71653
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB90629AR
Medicare ID-Type Unspecified57570AR

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAQUELINE MONDRAGON PT, DPT
Physical Therapist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9300
JOE WRIGHT CRNA
Nurse Anesthetist, Certified Registered
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
DR. MICHAEL BRADLEY MAYFIELD M.D.
Surgery
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9364
CHICOT RADIOLOGY CONSULTANT
Specialist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5074
DR. DAVID BRUCE FRENCH PHARM.D.
Pharmacist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
BROOKE MOSOW SPEECH PATHOLOGIST
Speech-Language Pathologist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9200
RICHARD C SMITH MD
Radiology (Diagnostic Radiology)
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 632-9091
MICHAEL BRADLEY MAYFIELD MD PA
Surgery
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theerasak Tuangsithtanon's NPI number?

The NPI number for Theerasak Tuangsithtanon is 1023038585. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Theerasak Tuangsithtanon located?

Theerasak Tuangsithtanon practices at 2729 S Highway 65 82, Lake Village, AR 71653. The listed phone number is (870) 265-5074.

What is Theerasak Tuangsithtanon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theerasak Tuangsithtanon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.