PATHOM THAVARADHARA MD PA (NPI# 1861664435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861664435 |
| Entity Type | Organization |
| Organization Name | PATHOM THAVARADHARA MD PA |
| Practice Address |
100 W 30th Ave Ste 102 Pampa TX 79065-2814 |
| Practice Telephone | 8066692900 |
| Practice Fax Number | 8066692031 |
| Mailing Telephone | 8066692900 |
| Mailing Fax Number | 8066692031 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | PATHOM THAVARADHARA (PRESIDENT) |
| Authorized Official Telephone | 8066692900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
L8581 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 167272701 | 05 | |
| TX | RAILROAD MEDICARE, PALMETTO GBA | DD1161 | 01 |
| TX | BLUE CROSS/BLUE SHIELD | 0012LM | 01 |
| Street Address |
100 W 30TH AVE STE 102 |
| City | PAMPA |
| State | TX |
| Zip Code | 79065-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043237076 | Pathom Thavaradhara | Internal Medicine | 100 W 30th Ave Ste 102, Pampa, TX 79065-2814 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317690 | Assisted Living Concepts Inc | Assisted Living Facility | 812 W 25th Street, Pampa, TX 79065 | 2007-03-26 |
| 1225154826 | Assisted Living Concepts Inc | Assisted Living Facility | 3005 Ne 2nd Street, Mineral Wells, TX 79065 | 2007-03-22 |
| 1790851426 | Rene P Grabato | Urology | 2931 Perryton Parkway, Pampa, TX 79065 | 2006-11-27 |
| 1467548040 | Vijay Krishnan Mohan | Surgery | 104 E 30th, Pampa, TX 79065 | 2006-10-04 |
| 1114024858 | Shepards Crook Nursing Agency, Inc. | Home Health | 916 Crest Rd, Suite 101, Pampa, TX 79065 | 2006-09-17 |
| 1740391812 | David M. Hampton | Orthopaedic Surgery | 2931 Perryton Pkwy, Pampa, TX 79065 | 2006-08-31 |
| 1386759561 | Pampa Orthopedics and Rehab, Lp | Physical Therapist | 1201 N Hobart, Space 2j, Lubbock, TX 79065 | 2006-08-20 |
| 1124060967 | Steven Day Correa | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065 | 2006-06-12 |
| 1215998661 | Gray Emergency Medicine Associates, Pa | Emergency Medicine | 1 Medical Plaza, Pampa, TX 79065 | 2006-03-28 |
| 1265402077 | Iota Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2545 Perryton Pkwy # 2b, Pampa, TX 79065 | 2006-01-24 |
| Find all providers in zip 79065 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043237076 | Pathom Thavaradhara | Internal Medicine | 100 W 30th Ave Ste 102, Pampa, TX 79065-2814 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
| 1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
| 1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
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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.