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SAKULSAK PHOONSAWAT
NPI 1629678446
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AE

Active since October 30, 2020
48 MDG/RAF LAKENHEATH, APO, AE 09461(314) 238-7452 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Oct 30, 2020 (2 updates tracked since 2020).

About Sakulsak Phoonsawat NPPES

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

SAKULSAK PHOONSAWAT (NPI 1629678446) is an individual independent duty medical technicians provider in Apo, AE and active in the NPI registry since October 2020. He maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1629678446
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameSAKULSAK PHOONSAWAT
Location Address48 MDG/RAF LAKENHEATHApo, AE 09461
Mailing Address48 Mdg/raf LakenheathApo, AE 09461 · (314) 238-7452
Phone(314) 238-7452
Sole ProprietorNo
Enumeration DateOctober 30, 2020
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1629678446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty Medical TechniciansOther Service Providers
Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

Secondary Practice Location 1

Location 11100 Wilford Hall LoopSan Antonio, TX 78236-5638 · Phone (210) 292-7412

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.

SYLVIA VALVERDE AU.D
Audiologist
48 MDG/RAF LAKENHEATH, OPC 41 BOX 15
APO, AE 09461
(314) 226-8567
MRS. ALYSSA K BARRON RDN, MHA
Dietitian, Registered
48 MDG/RAF LAKENHEATH
APO, AE 09461
(314) 226-8124
MR. SETH E ALLAN IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
48 MDG/RAF LAKENHEATH, UNIT 5051
APO, AE 09461
(314) 226-0528
JARED CAMPBELL IDMT-PARAMEDIC
Military Health Care Provider (Independent Duty Medical Technicians)
48 MDG/RAF LAKENHEATH, UNIT 5115
APO, AE 09461
(314) 238-8268
DR. VIRGINIA SANDRA MONTEIRO-WALKER DNP, CNM
Midwife
48 MDG/RAF LAKENHEATH, OPC 41 BOX 15
APO, AE 09461
(314) 266-8383
MICHAEL ANTHONY SALERNO IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
48 MDG/RAF LAKENHEATH, UNIT 5115
APO, AE 09461
(314) 226-9352
DR. JOHN MAXEY DO
Psychiatry & Neurology (Psychiatry)
48 MDG/RAF LAKENHEATH, UNIT 5115
APO, AE 09461
(314) 226-8603
ROBERT GASTON
Physical Therapist
48 MDG/RAF LAKENHEATH, UNIT 5115
APO, AE 09461
(314) 226-8561

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 Sakulsak Phoonsawat's NPI number?

The NPI number for Sakulsak Phoonsawat is 1629678446. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Sakulsak Phoonsawat located?

Sakulsak Phoonsawat practices at 48 Mdg/Raf Lakenheath, Apo, AE 09461. The listed phone number is (314) 238-7452.

What is Sakulsak Phoonsawat's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Sakulsak Phoonsawat was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.