Active NPI
George N Chin, MD
- Ophthalmology Physician
- Seattle, WA
National Provider Identifier
1114020146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00015647
- Practice address
- 10564 5TH Ave NE
Suite 102
Seattle, WA 98125-7200 - Phone
- (206) 365-5800
- Fax
- (206) 364-2072
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00015647 | WA | Primary |
Addresses
Primary practice location
10564 5TH Ave NE
Suite 102
Seattle, WA 98125-7200
Mailing address
10564 5TH Ave NE
Suite 102
Seattle, WA 98125-7200
Phone (206) 365-5800
Other names 1
- Dr. George N Chin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025209 | WA | MD | Ophthalmology Physician |
| MD00015647 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wensi Sun, MD, PS, Inc | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Seattle, WA
- NPI 1336105006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1114020146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10564 5TH AVE NE",
"address_2": "SUITE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257200",
"telephone_number": "206-365-5800",
"fax_number": "206-364-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10564 5TH AVE NE",
"address_2": "SUITE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257200",
"telephone_number": "206-365-5800",
"fax_number": "206-364-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "GEORGE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00015647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "CHIN",
"middle_name": "N",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.