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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHANCHAI TIVITMAHAISOON M.D.
NPI 1508820549
Surgery in Logan, WV

Active since April 14, 2006
20 HOSPITAL DR, LOGAN, WV 25601(304) 831-1254(304) 831-1679 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chanchai Tivitmahaisoon M.d. NPPES

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

CHANCHAI TIVITMAHAISOON M.D. (NPI 1508820549) is an individual surgery provider in Logan, West Virginia, licensed in West Virginia (11491) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1508820549
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHANCHAI TIVITMAHAISOONCredential: M.D.
Location Address20 HOSPITAL DRLogan, WV 25601-3452
Mailing Address20 Hospital DrLogan, WV 25601-3452 · (304) 831-1254 · Fax (304) 831-1679
Phone(304) 831-1254
Fax(304) 831-1679
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1508820549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 11491
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
20 HOSPITAL DR, Logan, WV 25601
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Other Identifiers 1

Medicaid0127820000WV

Other Providers at the Same Location NPPES 20

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

THE TRAINING ROOM INC
Durable Medical Equipment & Medical Supplies
20 HOSPITAL DR, DOCTORS PARK
LOGAN, WV 25601
Logan County (410) 374-4000
TIMOTHY M REED FNP
Nurse Practitioner (Family)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1188
LOGAN REGIONAL ANESTHESIA SERVICES, LLC
Anesthesiology
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 553-7680
ROBERT PEREZ M.D.
Internal Medicine
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1630
PATSY EUGENIE STOOTS FNP-BC
Nurse Practitioner (Acute Care)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1101
REGENEA QUICK
Nurse Practitioner (Family)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1891
GILES BOWMAN CRNA
Nurse Anesthetist, Certified Registered
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1138
LOGAN REGIONAL MEDICAL CENTER
General Acute Care Hospital
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1101

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 Chanchai Tivitmahaisoon's NPI number?

The NPI number for Chanchai Tivitmahaisoon is 1508820549. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Chanchai Tivitmahaisoon located?

Chanchai Tivitmahaisoon practices at 20 Hospital Dr, Logan, WV 25601. The listed phone number is (304) 831-1254.

What is Chanchai Tivitmahaisoon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Chanchai Tivitmahaisoon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.