Individual
SUTHON CHATKUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 629-2743
(816) 629-2708
Mailing address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 629-2743
(816) 629-2708
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33979
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00297056
BLUE CROSS BLUE SHIELD
—
01
—
021577062
RAILROAD MEDICARE
—
01
—
10001311700
COMMUNITY HEALTH
—
01
—
100240
FIRST GUARD
—
01
—
10270
BUNN
MO
01
—
1042753
ECFMG
—
01
—
17080111
UNITED HEALTH CARE
—
05
—
200236933
—
MO
01
—
301800
FAMILY HEALTH PARTNERS
—
01
—
3127327007
CIGNA
—
01
—
33825
HEALTHCARE USA
—
01
—
36553
FIRST HEALTH
—
01
—
4035241
AETNA
—
01
—
431726195
TAX ID
—
01
—
709912
BLUE CROSS BLUE SHIELD
KS
Enumeration date
12/01/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us