1023121431 NPI number — AURAPIN SUKANICH MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023121431 NPI number — AURAPIN SUKANICH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUKANICH
Provider First Name:
AURAPIN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHANDAVIMOL
Provider Other First Name:
AURAPIN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1023121431
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
341 MOHAWK SCHOOL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16102-2817
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
341 MOHAWK SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16102-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-667-2273
Provider Business Practice Location Address Fax Number:
724-667-8313
Provider Enumeration Date:
08/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207KI0005X , with the licence number:  3438 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208600000X , with the licence number: MD035583L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 102169 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0008377570010 . This is a "DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 93457 . This is a "RAIL ROAD MEDICARE METRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: MD035583L . This is a "MD LICENSE NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62775 . This is a "BEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 93457 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 93457 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0008377570010 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1003610 . This is a "GATEWAY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 78004 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 78004 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16565 . This is a "HEALTH ASSURANCE HLTH AME" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62775 . This is a "MED 3 RIVERS" identifier . This identifiers is of the category "OTHER".