CHICOT RADIOLOGY CONSULTANT
NPI 1437215878
Specialist in Lake Village, AR

Active since December 29, 2006
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653(870) 265-5074 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chicot Radiology Consultant NPPES

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

CHICOT RADIOLOGY CONSULTANT (NPI 1437215878) is a healthcare organization registered as a specialist in Lake Village, Arkansas and active in the NPI registry since December 2006. The organization lists Theerasak Tuangsithtanon, Radiology, as its authorized official.

NPPES Registry Identity

NPI1437215878
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHICOT RADIOLOGY CONSULTANT
Location Address2729 S HIGHWAY 65 82Lake Village, AR 71653-6136
Mailing Address2729 S Highway 65 82Lake Village, AR 71653-6136 · (870) 265-5074
Organization SubpartNo
Authorized OfficialTheerasak TuangsithtanonRadiology · (870) 265-5074
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1437215878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed · 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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Nurse Anesthetist, Certified Registered
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Specialist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Radiology (Diagnostic Radiology)
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Surgery
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Pharmacist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Obstetrics & Gynecology
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Nurse Practitioner (Primary Care)
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Speech-Language Pathologist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437215878, enumerated as an "organization" on December 29, 2006.

The provider is located at 2729 S HIGHWAY 65 82 LAKE VILLAGE, AR 71653 and the phone number is (870) 265-5074.

Specialist with taxonomy code 174400000X.