Active NPI
Christopher H Gaynor, MD
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00032958
- Practice address
- 611 12TH Ave S
Suite 200
Seattle, WA 98144-1910 - Phone
- (206) 324-9360
- Fax
- (206) 324-8910
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00032958 | WA | Primary |
Addresses
Primary practice location
611 12TH Ave S
Suite 200
Seattle, WA 98144-1910
Mailing address
PO Box 3364
Seattle, WA 98114-3364
Phone (206) 324-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1109230 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032958 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Indian Health Board | Family Medicine | Current | Accepting new patients |
| Seattle Indian Health Board | Family Medicine | Current | Accepting new patients |
| Seattle Indian Health Board | Current | Accepting new patients | |
| Thunderbird Treatment Center, LLC | Past | Accepting new patients | |
| Robert K Chow, MD P.S. | Past | Accepting new patients | |
| Seattle Indian Health Board | Past | Accepting new patients | |
| Seattle Indian Health Board | Past | Accepting new patients | |
| Qliance Medical Group of Washington | Family Medicine | Past | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Past | Accepting new patients |
Locations
124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214
12736 33rd Ave NE
#200
Seattle, WA 98125
Phone (206) 324-9360
611 12th Ave S
Ste 200
Seattle, WA 98144
Phone (206) 324-9360
611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1316012461
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1235778812
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1922673367
-
- Family Medicine Physician
- Seattle, WA
- NPI 1417194317
-
- Dermatology Physician
- Burien, WA
- NPI 1568569747
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1306911458
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1326186370
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
-
- Substance Abuse Rehabilitation Facility
- Seattle, WA
- NPI 1215002365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1023085495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3364",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143364",
"telephone_number": "206-324-9360",
"fax_number": "206-324-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 12TH AVE S",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981441910",
"telephone_number": "206-324-9360",
"fax_number": "206-324-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYNOR",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00032958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1109230",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.