Active NPI
Marina Cheng, MD
- Surgery Physician
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD60271597
- Practice address
- 2200 NW Myhre Road
Silverdale, WA 98383-7681 - Phone
- (360) 830-1100
- Fax
- (360) 830-1283
- NPI assigned
- Jun 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 002409 | GA | |
| Surgery Physician | 208600000X | MD60271597 | WA | Primary |
Addresses
Primary practice location
2200 NW Myhre Road
Silverdale, WA 98383-7681
Mailing address
2512 Wheaton Way
Bremerton, WA 98310-3399
Phone (360) 782-3661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002409 | Other | GA | RESIDENT TRAINING PERMIT |
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
- Urology
- Education
- Georgetown University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 486-6772
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083
525 Lilly Rd NE
Olympia, WA 98506-5101
Hospital & facility affiliations
- Providence St Peter Hospital
- Providence Centralia Hospital
- Arbor Health Morton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 19 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002409 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients |
Locations
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia, WA
- NPI 1023550050
-
- General Practice Physician
- Olympia, WA
- NPI 1134656135
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lacey, WA
- NPI 1689805509
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Morton, WA
- NPI 1154361814
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1174720569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103399",
"telephone_number": "360-782-3661",
"fax_number": "360-782-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NW MYHRE ROAD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837681",
"telephone_number": "360-830-1100",
"fax_number": "360-830-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "MARINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "002409",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60271597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT TRAINING PERMIT",
"identifier": "002409",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.