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Chanchai Tivitmahaisoon, M.D.

NPI 1508820549ActiveIndividual· Surgery· Logan, WV

Surgery (M.D.) in Logan, West Virginia, licensed in WV, with an NPI issued in April 2006.

Overview

NPI1508820549
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedApr 14, 2006
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X11491WV

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Surgery providers in Logan

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