Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669464269 Deactivated / Inactive NPI Female Practitioner

Dr. Chaninthorn Setabutr , MD

Pediatrics • Jasper, TX

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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. Chaninthorn Setabutr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date March 25, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Chaninthorn Setabutr, MD was a registered Pediatrics practicing in Jasper, TX. Throughout an active medical career spanning 1 years, Dr. Setabutr provided care at the practice location at 605 W GIBSON ST until profile deactivation on 2006-03-25.

Practice Location & Contact Primary Location

Practice Address

605 W Gibson St

Jasper, TX 759514909

Telephone 4093843478
Fax 4093831056
Associated Practice Facility / Clinic
🏢 Clinics For Womens Health Pa Facility NPI 1528271640

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jasper, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Jasper, TX (5841 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 TX G1273

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

Commercial Insurance / Payer ID Bcbs Identifier Number
00NA48 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Donald Samuel , MD

Obstetrics & Gynecology

NPI 1255414231

Doctor of Medicine (M.D.)

Susan Craft , HIS

Hearing Instrument Specialist

NPI 1750668034

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 09, 2007

Registered at 605 W GIBSON ST, JASPER, TX 759514909 (Tel: 4093843478)

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Updated Business Mailing Address July 09, 2007

Registered at 605 W GIBSON ST, JASPER, TX 759514909 (Tel: 4093843478)

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Provider Name / Credentials Updated July 09, 2007

Recorded as CHANINTHORN SETABUTR, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #G1273 in TX)

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NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 25, 2006

Record deactivated on March 25, 2006

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Initial NPI Registration & Enumeration August 19, 2005

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: 1669464269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: July 09, 2007
Deactivation Date: March 25, 2006
Sole Proprietor: Yes

Mailing Address

605 W Gibson St

Jasper, TX 759514909

Phone: 4093843478

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.