MR. DAVEN MARCEL PANTOHAN PA-C
NPI 1235531393
Physician Assistant in Everett, WA

Q: What is Daven Pantohan's NPI number?

The NPI number for Daven Pantohan is 1235531393. It was assigned to this individual provider in the NPPES registry on September 20, 2014.

Q: What is Daven Pantohan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Daven Pantohan was last updated on August 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.

Active since September 20, 2014PECOS EnrolledAccepts Medicare Assignment

3726 BROADWAY STE 201, EVERETT, WA 98201(425) 317-9119(425) 317-9118 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2021, Oct 24, 2016, Dec 22, 2015 (3 updates tracked since 2015).

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About Mr. Daven Marcel Pantohan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVEN MARCEL PANTOHAN PA-C (NPI 1235531393) is an individual physician assistant in Everett, Washington, licensed in Washington (60611622) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1235531393

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DAVEN MARCEL PANTOHANCredential: PA-C

Location Address3726 BROADWAY STE 201Everett, WA 98201-3788

Mailing Address3726 Broadway Ste 201Everett, WA 98201-3788 · (425) 317-9119 · Fax (425) 317-9118

Phone(425) 317-9119

Fax(425) 317-9118

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 20, 2014

Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration

NPPES CertifiedAugust 23, 2021

✔ NPI 1235531393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · 60611622

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA60611622 (WA)

3726 BROADWAY STE 201, Everett, WA 98201

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Secondary Practice Location 1

Location 1601 Broadway, 6th FloorSeattle, WA 98122-5330 · Phone (206) 386-2600 · Fax (206) 622-1644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daven Marcel Pantohan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870896491

PECOS Enrollment IDI20160317001020

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JAMES OLIVER

Physician Assistant