Irene M. Tham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60652549 Issued in WA

Practice address

22620 SE 4TH Street
Suite #200
Sammamish, WA 98074

Phone

(425) 836-5407

Fax

(425) 836-5557

NPI assigned

Nov 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: itham127495@direct.seattlechildrens.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics

  • Pediatrics Physician
  • Sammamish, WA
  • NPI 1699849331

  Pediatrics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1982885604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22620 SE 4TH STREET",
            "address_2": "SUITE #200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22620 SE 4TH STREET",
            "address_2": "SUITE #200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98074",
            "telephone_number": "425-836-5407",
            "fax_number": "425-836-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAM",
        "first_name": "IRENE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101242206",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60652549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel Tadesse
• Amy L Tait, PT
• Jennifer S Takeda, OT
• Eva Taylor, MD
• Ted Burris & Associates
• The Tooth Fairies
• Richard J Theiss, LMP
• This Is US Together Behavior Therapy LLC
• Robert Randall Thomas, D.P.T.
• Erin Thompson, MA, MA, PSYD

• Pediatrics Physician in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.