Individual provider Active NPI

Christopher H Gaynor, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1023085495
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00032958 Issued in WA
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

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1109230MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060605000208 WA Practitioner - Family Practice 9931110061 Reassigns benefits to 1 organization

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
Seattle Indian Health BoardGroup PAC ID 7517866973, 29 clinicians

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

LicenseStateTypeSpecialty
MD00032958WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Indian Health Board Family Medicine Current Accepting new patients
Seattle Indian Health Board Family Medicine CurrentSince Jan 31, 2022 Accepting new patients
Seattle Indian Health Board CurrentSince Jan 31, 2022 Accepting new patients
Thunderbird Treatment Center, LLC Past Accepting new patients
Robert K Chow, MD P.S. PastSince May 1, 2020 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.

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

Verify at the official NPI Registry.