Dr. Thiravat Choojitarom

M.D. | Pediatrics | Male

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Complete Profile:

Dr. Thiravat Choojitarom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Dr. Thiravat Choojitarom
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Thiravat Choojitarom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	311 Veterans Blvd, Suite B Denham Springs, LA, 70726-4726 United States
Phone Number :	225-665-4554
Fax Number :	225-665-6995

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1457334484
NPI Entity Type :	Individual
First Enrolment Date :	23 Nov, 2005
Last Updated On :	10 Feb, 2021

Medicare Participation:

Dr. Thiravat Choojitarom participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8921909623
Medicare Enrollment ID :	I20060911000042
Primary Specialty :	Pediatric Medicine
Medical School :	Tulane University School Of Medicine
Graduation Year :	1993
Accepts Medicare?	Yes. Dr. Thiravat Choojitarom accepts medicare insurance.

Group Practice Association:

Dr. Thiravat Choojitarom is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Thiravat Choojitarom is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Our Lady Of The Lake Physician Group Llc	4587849781	491	311 Veterans Blvd B Denham Springs, LA - 707264726 Ph: 2256654554	Yes
Our Lady Of The Lake Physician Group Llc	4587849781	491	8415 Goodwood Blvd Suite 100 Baton Rouge, LA - 708067851 Ph: 2257655633	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thiravat Choojitarom are as mentioned. Primary taxonomy code for Dr. Thiravat Choojitarom, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	021846	LA

Legacy Identifiers:

Other legacy medical identifiers of Dr. Thiravat Choojitarom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1681580	MEDICAID	LA

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	311 Veterans Blvd, Suite B Denham Springs, LA, 70726-4726 United States
Phone Number :	225-665-4554
Fax Number :	225-665-6995

Business Location:

Patients can refer following map for directions to Dr. Thiravat Choojitarom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.