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Daniel Zackary Souvannarath

NPI 1174144828ActiveIndividual· Physician Assistant· Bridgeton, MO

Physician Assistant in Bridgeton, Missouri, licensed in MO, with an NPI issued in May 2020. Part D covered 53 prescriptions written in 2024, 77% of them generic. Regeneron Healthcare Solutions, Inc. was the largest of 6 companies reporting payments in 2025, $343.95 in all, mostly food and beverage.

Overview

NPI1174144828
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 5, 2020
Last updated in NPPESSep 13, 2021
Certified by providerSep 13, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X2021010216MO
Physician Assistant363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MO)

Part D prescriptions in 2024

Prescriptions (claims)53 · 62 30-day fills
Patients34
Total drug cost$8,524
Generic share77% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$343.95 · 10 payments from 6 companies
  • 2024$28.96 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$343.95 · 10 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Bridgeton

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