DR. VICHAIE DUANGJAK M.D.
NPI 1477651933
Specialist in Chardon, OH

Active since September 20, 2006PECOS Enrolled
12475 HOSPITAL DR, CHARDON, OH 44024(440) 286-6633(440) 286-1118 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vichaie Duangjak M.d. NPPES

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

DR. VICHAIE DUANGJAK M.D. (NPI 1477651933) is an individual specialist in Chardon, Ohio, licensed in Ohio (35034212) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477651933
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. VICHAIE DUANGJAKCredential: M.D.
Location Address12475 HOSPITAL DRChardon, OH 44024-9028
Mailing Address12475 Hospital DrChardon, OH 44024-9028 · (440) 286-6633 · Fax (440) 286-1118
Fax(440) 286-1118
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 15, 2010
NPI 1477651933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · 35034212
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.
12475 HOSPITAL DR, Chardon, OH 44024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vichaie Duangjak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
12475 HOSPITAL DR
CHARDON, OH 44024

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 Vichaie Duangjak's NPI number?

The NPI number for Vichaie Duangjak is 1477651933. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Vichaie Duangjak located?

Vichaie Duangjak practices at 12475 Hospital Dr, Chardon, OH 44024. The listed phone number is (440) 286-6633.

What is Vichaie Duangjak's specialty?

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

Is Vichaie Duangjak enrolled in Medicare?

Yes. Vichaie Duangjak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vichaie Duangjak was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.