Active NPI
Ellen H Chen, M.D.
- Interventional Cardiology Physician
- Coos Bay, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MED-PHYS-LIC-45806
- Practice address
- 1775 Thompson Rd
Coos Bay, OR 97420-2198 - Phone
- (541) 269-8111
- NPI assigned
- Jun 7, 2006
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD186722 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | MD00047746 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | 01077302A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | MC-0231 | ID | |
| Interventional Cardiology Physician | 207RI0011X | MED-PHYS-LIC-45806 | MT | Primary |
| Interventional Cardiology Physician | 207RI0011X | MC-0231 | ID | |
| Interventional Cardiology Physician | 207RI0011X | MD00047746 | WA |
Addresses
Primary practice location
1775 Thompson Rd
Coos Bay, OR 97420-2198
Mailing address
PO Box 59028
Renton, WA 98058-2028
Phone (425) 656-5415
Other practice location 1
4011 Talbot Rd S
Suite 500
Renton, WA 98055-5773
Phone (425) 251-5110
Other practice location 2
415 6th St
Lewiston, ID 83501-2434
Phone (208) 750-7507
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015CH | Other | WA | REGENCE |
| 0248026 | Other | WA | L&I |
| 201379160 | Medicaid | IN | |
| 000001041073 | Other | IN | ANTHEM PROVIDER NUMBER |
| 8478695 | Medicaid | WA | |
| 8951017 | Other | WA | CRIME VICTIMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OR, ID, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Wisconsin, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280
2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 269-8282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD186722 | OR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| St Joseph Hospital LLC | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Northeastern Nevada Physician Practices LLC | Current | Accepting new patients | |
| Centennial Medical Group Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Northeastern Nevada Physician Practices LLC | Cardiovascular Disease | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Osu Internal Medicine, LLC | Past | Accepting new patients | |
| Radiology Inc | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
8016 Reliable Pkwy
Chicago, IL 60686
2600 Greenbush St
Lafayette, IN 47904
1995 Errecart Blvd
Ste 110
Elko, NV 89801
Phone (775) 738-8877
1995 Errecart Blvd
Ste 204
Elko, NV 89801
Phone (775) 738-0520
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
2801 NW Mercy Dr
Ste 340
Roseburg, OR 97471
Phone (541) 677-2494
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Internal Medicine Physician
- Elko, NV
- NPI 1457599458
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Family Medicine Physician
- Elko, NV
- NPI 1730408949
Cardiovascular Disease
-
dba Stoneridge Endoscopy Center
- Endoscopy Clinic/Center
- Dublin, OH
- NPI 1427127919
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Critical Access Hospital
- Coquille, OR
- NPI 1730223967
-
dba Curry Medical Center (formerly Brookings Medical Center)
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
dba Curry General Hospital
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- Critical Access Hospital
- Bandon, OR
- NPI 1588684484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1083654313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59028",
"city": "RENTON",
"state": "WA",
"postal_code": "980582028",
"telephone_number": "425-656-5415",
"fax_number": "425-793-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202198",
"telephone_number": "541-269-8111"
}
],
"practiceLocations": [
{
"address_1": "4011 Talbot Rd S",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555773",
"country_code": "US",
"telephone_number": "425-251-5110",
"fax_number": "425-793-7376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 6th St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ID",
"postal_code": "835012434",
"country_code": "US",
"telephone_number": "208-750-7507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "ELLEN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD186722",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00047746",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01077302A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ID",
"license": "MC-0231",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MT",
"license": "MED-PHYS-LIC-45806",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "ID",
"license": "MC-0231",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD00047746",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "1015CH",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0248026",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201379160",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000001041073",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8478695",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8951017",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.