Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sipong Patamasucon

Individual provider Physician Assistant · NPI 1316747256

Sipong Patamasucon is a Physician Assistant in Lake Havasu City, Arizona. Qualified in 2024, 2 years ago. Practices with Thomas Dermatology, a 33-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone: (928) 854-5400
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2350 Miracle Mile, Bullhead City, AZ 86442-7505 — (928) 758-9362
  • 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 — (928) 753-9629

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11017 (AZ)

Record details

NPI number1316747256
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Thomas Dermatology — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $36 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Kingman Regional Medical Center Hospital · Kingman, AZ

Colleagues at Thomas Dermatology

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 33 clinicians in the practice; 12 are shown here.

Other providers in Lake Havasu City