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Active NPI 1487675526 Individual Practitioner Female Practitioner

Dr. Paweena Thoophom , MD

Pediatrics • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Dr. Paweena Thoophom, MD is a registered healthcare professional specializing in Pediatrics in Enumclaw, WA. Practice services are available at 3021 GRIFFIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3021 Griffin Ave

Enumclaw, WA 980222369

Telephone 3608256511
Fax 3608256536
Associated Practice Facility / Clinic
🏢 Franciscan Medical Group Facility NPI 1801825641

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Enumclaw, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Enumclaw, WA (1802 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 WA MD00046037

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A93951

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.

Practice Associates & Co-Workers

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

29 Associated Practitioners
Kashish Goyal

Family Medicine

NPI 1134672298
Dr. Michael Miller , MD

Orthopaedic Surgery

NPI 1164419685

Doctor of Medicine (M.D.)

Jennifer Erickson , PA-C

Physician Assistant

NPI 1194045682

Physician Assistant (Certified)

Joy Frey , ARNP

Nurse Practitioner - Family

NPI 1194243915

Advanced Registered Nurse Practitioner

Dr. Craig Tuohy , MD

Internal Medicine - Gastroenterology

NPI 1225043086

Doctor of Medicine (M.D.)

Shannon Pendleton , NP

Nurse Practitioner - Family

NPI 1265866313

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2017

Registered at 3021 GRIFFIN AVE, ENUMCLAW, WA 980222369 (Tel: 3608256511)

📍
Updated Business Mailing Address November 28, 2017

Registered at 3021 GRIFFIN AVE, ENUMCLAW, WA 980222369 (Tel: 3608256511)

👤
Provider Name / Credentials Updated November 28, 2017

Recorded as PAWEENA THOOPHOM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2017

Pediatrics (License #MD00046037 in WA)

NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2012

Registered at 303 LOMA DR, LOS ANGELES, CA 900171103 (Tel: 2132015800)

📍
Updated Business Mailing Address March 01, 2012

Registered at 6000 N FIGUEROA ST, LOS ANGELES, CA 900424232 (Tel: 3232545221)

👤
Provider Name / Credentials Updated March 01, 2012

Recorded as PAWEENA THOOPHOM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Pediatrics (License #A93951 in CA)

🟢
Initial NPI Registration & Enumeration July 22, 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: 1487675526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2006
Last Update: November 28, 2017
Sole Proprietor: No

Mailing Address

3021 Griffin Ave

Enumclaw, WA 980222369

Phone: 3608256511

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.