DR. CHANINTHORN SETABUTR (NPI# 1669464269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464269 |
| Entity Type | Individual |
| Full Name | DR. CHANINTHORN SETABUTR |
| Credential | M.D. |
| Practice Address |
605 W Gibson St Jasper TX 75951-4909 |
| Practice Telephone | 4093843478 |
| Practice Fax Number | 4093831056 |
| Mailing Telephone | 4093843478 |
| Mailing Fax Number | 4093831056 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-07-09 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G1273 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS IDENTIFIER NUMBER | 00NA48 | 01 |
| Street Address |
605 W GIBSON ST |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528271640 | Clinics for Womens Health Pa | Obstetrics & Gynecology | 605 W Gibson St, Jasper, TX 75951-4909 | 2007-05-07 |
| 1255414231 | Donald Samuel | Obstetrics & Gynecology | 605 W Gibson St, Jasper, TX 75951-4909 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| 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 |
|---|---|---|---|---|
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1093168049 | Children's Clinic of Jasper | Pediatrics | 1008 Dickerson Dr, Jasper, TX 75951-5111 | 2016-07-14 |
| 1598178493 | North Arkansas Regional Medical Center | Pediatrics | 609 W Clark, Jasper, AR 72641 | 2014-06-09 |
| 1639188147 | Kalyan Kumar Rath | Pediatrics | 1273 S Peachtree, Jasper, TX 75951 | 2006-08-05 |
| 1710957741 | Richard Spence Dabbs | Pediatrics | 1513 Pediatric Dr, Jasper, AL 35501-4059 | 2006-01-24 |
| 1043203326 | Gary Stephen Hayes | Pediatrics | 4896 Main St, Jasper, TN 37347-3681 | 2005-08-23 |
| 1033114285 | North Florida Pediatrics Pa | Pediatrics | 1117 Nw Hwy 41, Ste B, Jasper, FL 32052-5856 | 2005-06-15 |
| 1780071597 | Cameron Laseter Diaz | Pediatrics | 1513 Pediatric Dr, Jasper, AL 35501-4059 | 2015-04-20 |
| 1417376195 | Valley Medical Care LLC | Pediatrics | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2014-04-10 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| Find all providers in JASPER | ||||
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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.