AMBER CHAROEN M.D.
Complete NPI Record 1508217944
Internal Medicine - Gastroenterology in Kennewick, WA
Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
Complete NPI Dataset
This page contains the complete raw NPPES record for Amber Charoen, M.D. (NPI 1508217944), an individual internal medicine provider in Kennewick, WA. All 40 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1508217944 Field 1/40
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/40
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: CHAROEN Field 3/40
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: AMBER Field 4/40
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: M.D. Field 5/40
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: ATSAWARUNGRUANGKIT Field 6/40
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: AMBER Field 7/40
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Credential Text: MD Field 8/40
- The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name Type Code: 5 Field 9/40
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 9500 S DADELAND BLVD STE 200 Field 10/40
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: MIAMI Field 11/40
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: FL Field 12/40
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 331562866 Field 13/40
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 14/40
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7865303820 Field 15/40
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 3056753378 Field 16/40
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 7114 W HOOD PL STE 433 Field 17/40
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: KENNEWICK Field 18/40
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: WA Field 19/40
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 993366712 Field 20/40
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 21/40
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5097344885 Field 22/40
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 5097342576 Field 23/40
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 26/40
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 207RG0100X Field 27/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: D92813 Field 28/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: MD Field 29/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 30/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207RG0100X Field 31/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: MD16624 Field 32/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: RI Field 33/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 34/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 207RG0100X Field 35/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 3: MD61460424 Field 36/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 3: WA Field 37/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 3: Y Field 38/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 39/40
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 17
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
593 Eddy St
Location 1/17Providence, RI 02903-4923 · Phone (401) 444-8450 · Fax (508) 383-8582
600 N Wolfe St
Location 2/17Baltimore, MD 21287-0005 · Phone (410) 550-5122
3000D Ventrie Ct
Location 3/17Myersville, MD 21773-7817 · Phone (240) 215-6310
7211 Bank Ct
Location 4/17Frederick, MD 21703-8483 · Phone (240) 215-6310
15 E Frederick St
Location 5/17Walkersville, MD 21793-8234 · Phone (240) 215-6310
400 W 7th St
Location 6/17Frederick, MD 21701-4506 · Phone (240) 215-6310
16403 Old Emmitsburg Rd
Location 7/17Emmitsburg, MD 21727-8929 · Phone (240) 215-6310
1 Frederick Health Way
Location 8/17Frederick, MD 21701-9435 · Phone (240) 215-6310
1194 Dutchmans Creek Dr
Location 9/17Brunswick, MD 21716-9786 · Phone (240) 215-6310
141 Thomas Johnson Dr
Location 10/17Frederick, MD 21702-4502 · Phone (301) 846-0100
230 W Patrick St
Location 11/17Frederick, MD 21701-6945 · Phone (240) 215-6310
194 Thomas Johnson Dr
Location 12/17Frederick, MD 21702-4679 · Phone (240) 215-6310
501 W 7th St
Location 13/17Frederick, MD 21701-4586 · Phone (240) 215-6310
75 Thomas Johnson Dr
Location 14/17Frederick, MD 21702-4895 · Phone (240) 215-6310
504 E Ridgeville Blvd
Location 15/17Mount Airy, MD 21771-5942 · Phone (240) 215-6310
1562 Opossumtown Pike
Location 16/17Frederick, MD 21702-4920 · Phone (240) 215-6310
3430 Worthington Blvd
Location 17/17Frederick, MD 21704-7017 · Phone (240) 215-6310
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