PACIFIC PEDIATRICS (NPI# 1699936898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699936898 |
| Entity Type | Organization |
| Organization Name | PACIFIC PEDIATRICS |
| Practice Address |
11601 Pacific Ave S Tacoma WA 98444-5425 |
| Practice Telephone | 2535363336 |
| Practice Fax Number | 2535363242 |
| Mailing Telephone | 2535363336 |
| Mailing Fax Number | 2535363242 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | DR. NICHOLAS JAMES THEMELIS (OWNER) |
| Authorized Official Telephone | 2535363336 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00025303 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1018430 | 05 | |
| WA | REGENCE BLUESHIELD | TH0534 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC PEDIATRICS | 1475 Mount Hood Ave, Woodburn, OR 97071 |
| Street Address |
11601 PACIFIC AVE S |
| City | TACOMA |
| State | WA |
| Zip Code | 98444-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760564959 | Nicholas James Themelis | Pediatrics | 11601 Pacific Ave S, Tacoma, WA 98444-5435 | 2006-10-19 |
| 1154964815 | Alexis Christine Themelis Balser | Nurse Practitioner | 11601 Pacific Ave S, Tacoma, WA 98444-5425 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
| Find all providers in zip 98444 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1003357427 | Alexander L Bowers | Pediatrics | 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-1000 | 2017-03-18 |
| 1063873933 | Paul Patterson | Pediatrics | 9040 Jackson Ave Department of Pediatrics Mamc, Tacoma, WA 98431-0001 | 2016-03-18 |
| 1730560731 | Danielle Ashley Coleman | Pediatrics | 316 Martin Luther King Jr Way Ste 212, Tacoma, WA 98405-4254 | 2015-06-15 |
| 1881013860 | Amanda P Williams | Pediatrics | 317 Martin L King Jr Way, Tacoma, WA 98405-4234 | 2014-04-07 |
| 1174966477 | Matthew Timlin | Pediatrics | 9040 Jackson Ave Pediatric Critical Care Dept, Tacoma, WA 98431-1100 | 2013-04-17 |
| 1699006320 | Charlotte Schnellbacher | Pediatrics | Madigan Army Medical Center Pediatric Clinic, Bldg 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2010-01-20 |
| 1205096260 | Susan M Mosier | Pediatrics | 9040 Jackson Ave Department of Pediatrics, Tacoma, WA 98431 | 2008-06-12 |
| 1609061605 | Alan Heckler | Pediatrics | Madigan Healthcare System Dept of Pediatrics, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2007-09-12 |
| 1023216983 | Kathryn Taylor Gattone | Pediatrics | Fitzsimmons Dr Bldg 9040, Attn: Mchj-p, Tacoma, WA 98431-0001 | 2007-07-03 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.