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
- Last updated
- Oct 3, 2007
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.