Sipong Patamasucon
NPI 1316747256 · Physician Assistant · Lake Havasu City, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sipong Patamasucon is a Physician Assistant provider in Lake Havasu City, AZ (NPI 1316747256).
Provider details
- NPI number
- 1316747256
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11017 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2350 Miracle MileBullhead City, AZ 86442-7505Phone: (928) 758-9362
- 1815 N Stockton Hill RdKingman, AZ 86401-4667Phone: (928) 753-9629
Registry dates
- Enumerated
- 2025-03-18
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Frequently asked questions
- What is Sipong Patamasucon's NPI number?
- Sipong Patamasucon's National Provider Identifier (NPI) is 1316747256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sipong Patamasucon's specialty?
- Sipong Patamasucon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sipong Patamasucon located?
- Sipong Patamasucon's practice location on file with NPPES is 1801 Mesquite Ave, Lake Havasu City, AZ 86403-5668.
- What is Sipong Patamasucon's phone number?
- The practice phone number listed in the NPPES registry for Sipong Patamasucon is (928) 854-5400.
- Does Sipong Patamasucon accept Medicare?
- Sipong Patamasucon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sipong Patamasucon's NPI active?
- Yes — Sipong Patamasucon's NPI (1316747256) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.