Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174598577 Deactivated / Inactive NPI Male Practitioner

Dr. Arkom Tivorsak , MD

Specialist • Atchison, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Arkom Tivorsak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2006
NPI Deactivation Date August 16, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Arkom Tivorsak, MD was a registered Specialist practicing in Atchison, KS. Throughout an active medical career spanning 11 years, Dr. Tivorsak provided care at the practice location at 115 N 5TH ST until profile deactivation on 2017-08-16.

Practice Location & Contact Primary Location

Practice Address

115 N 5th St

Atchison, KS 660022406

Telephone 9133675042
Fax 9133674177

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Atchison, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Atchison, KS (256 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KS 0416591KS

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2017

Record deactivated on August 16, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 115 N 5TH ST, ATCHISON, KS 660022406 (Tel: 9133675042)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 127, ATCHISON, KS 660020127 (Tel: 9133675042)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ARKOM TIVORSAK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #0416591KS in KS)

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Initial NPI Registration & Enumeration February 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174598577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2006
Last Update: July 08, 2007
Deactivation Date: August 16, 2017

Mailing Address

Po Box 127

Atchison, KS 660020127

Phone: 9133675042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.