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Sipong Patamasucon

NPI 1316747256ActiveIndividual· Physician Assistant· Lake Havasu City, AZ

Physician Assistant with Thomas Dermatology, practicing in Lake Havasu City, Arizona. Enrolled in Medicare as practitioner - physician assistant. Janssen Biotech, Inc. was the largest of 2 companies reporting payments in 2025, $36.07 in all, mostly food and beverage. Lists Kingman Regional Medical Center as a hospital affiliation.

Overview

NPI1316747256
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 18, 2025
Last updated in NPPESMar 18, 2025
Certified by providerMar 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X11017AZ

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 (AZ)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$36.07 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Janssen Biotech, Inc.$18.111
Abbvie Inc.$17.961

What the 2025 payments were for

  • Food and Beverage$36.07 · 2 payments

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

Other Physician Assistant providers in Lake Havasu City

All Physician Assistant providers in Arizona →