Active NPI 1467424416 Individual Practitioner Male Practitioner

Dr. Rangsan Suvan , MD

Pediatrics • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Dr. Rangsan Suvan, MD is a registered healthcare professional specializing in Pediatrics in Poplar Bluff, MO. Practice services are available at 2500 LUCY LEE PARKWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 Lucy Lee Parkway

Poplar Bluff, MO 63901

Telephone 5736862585

Fax 5736864415

Associated Practice Facility / Clinic

🏢 Children's Clinic Facility NPI 1609037381

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Poplar Bluff, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.0 Yrs

State Avg: 19.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Poplar Bluff, MO (1616 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO R5641

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200331510 (MO)

Commercial Insurance / Payer ID Arkansas Individual Medicaid Number

108033001 (AR)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2008

Registered at 2500 LUCY LEE PARKWAY, POPLAR BLUFF, MO 63901 (Tel: 5736862585)

📍

Updated Business Mailing Address June 23, 2008

Registered at 2500 LUCY LEE PARKWAY, POPLAR BLUFF, MO 63901 (Tel: 5736862585)

👤

Provider Name / Credentials Updated June 23, 2008

Recorded as RANGSAN SUVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2008

Pediatrics (License #R5641 in MO)

🟢

Initial NPI Registration & Enumeration February 03, 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: 1467424416

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 03, 2006

Last Update: June 23, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2500 Lucy Lee Parkway

Poplar Bluff, MO 63901

Phone: 5736862585

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.