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Active NPI 1104355049 Individual Practitioner Male Practitioner

Dr. Christopher Mathias Gunawan , MD

Pediatrics • Port Orchard, WA

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Gunawan, MD is a registered healthcare professional specializing in Pediatrics in Port Orchard, WA. Practice services are available at 1400 POTTERY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Pottery Ave

Port Orchard, WA 983663711

Telephone 3608955000
Fax 8775169023
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Port Orchard, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Port Orchard, 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

CMS Verified: 2024-10-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61537259

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 A157790

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 Medicare Upin
VAD000

Secondary Practice Locations

9040a Jackson Ave

Joint Base Lewis Mcchord, WA 984315060

Phone: 2539680020

36065 Santa Fe Ave

Fort Hood, TX 765445060

Phone: 2545531327

1 Jarrett White Rd

Tripler Army Medical Center, HI 968595001

Phone: 8084336345

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1093817546

Doctor of Medicine (M.D.)

Rebecca Hunt , MS

Counselor - Mental Health

NPI 1134526163

Master of Science

NPI 1154395085

Doctor of Medicine (M.D.)

NPI 1154469500
Emily Assavapisitkul

Family Medicine

NPI 1174020754
NPI 1174675250

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 18, 2024

Registered at 1400 POTTERY AVE, PORT ORCHARD, WA 983663711 (Tel: 3608955000)

📍
Updated Business Mailing Address October 18, 2024

Registered at 1400 POTTERY AVE, PORT ORCHARD, WA 983663768 (Tel: 3608955000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2024

Pediatrics (License #A157790 in CA)

📍
Updated Practice Location August 03, 2023

Registered at 9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 984315060 (Tel: 2539680020)

📍
Updated Practice Location March 15, 2022

Registered at 36065 SANTA FE AVE, FORT HOOD, TX 765445060 (Tel: 2545531327)

📍
Updated Business Mailing Address March 15, 2022

Registered at 36065 SANTA FE AVE, FORT HOOD, TX 765445060 (Tel: 2545531327)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Military Health Care Provider (License #A157790 in CA)

NPI Profile Active June 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2017

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001 (Tel: 8084336345)

📍
Updated Business Mailing Address June 05, 2017

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001

👤
Provider Name / Credentials Updated June 05, 2017

Recorded as CHRISTOPHER GUNAWAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 05, 2017

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: 1104355049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2017
Last Update: October 18, 2024
Sole Proprietor: No

Mailing Address

1400 Pottery Ave

Port Orchard, WA 983663768

Phone: 3608955000

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.