Supachoke Sirisuwanangkura, MD
NPI 1619073517 · Internal Medicine Physician · Lake City, FL
Supachoke Sirisuwanangkura, MD is a Internal Medicine Physician provider in Lake City, FL (NPI 1619073517).
Provider details
- NPI number
- 1619073517
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35445 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Supachoke Sirisuwanangkura's NPI number?
- Supachoke Sirisuwanangkura's National Provider Identifier (NPI) is 1619073517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Supachoke Sirisuwanangkura's specialty?
- Supachoke Sirisuwanangkura is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Supachoke Sirisuwanangkura located?
- Supachoke Sirisuwanangkura's practice location on file with NPPES is 619 S Marion Ave, Lake City, FL 32025-5808.
- What is Supachoke Sirisuwanangkura's phone number?
- The practice phone number listed in the NPPES registry for Supachoke Sirisuwanangkura is (386) 755-3016.
- Is Supachoke Sirisuwanangkura's NPI active?
- Yes — Supachoke Sirisuwanangkura's NPI (1619073517) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.