Active NPI
Chinn GYN LLC
- Gynecology Physician
- Mount Vernon, WA
National Provider Identifier
1336602473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- CHINN GYN LLC
- Practice address
- 111 S 12TH St
Mount Vernon, WA 98274-4000 - Phone
- (360) 824-5278
- Fax
- (360) 768-3134
- NPI assigned
- Apr 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Chinn, DO
- Title
- Owner & Medical Director
- Phone
- (360) 824-5278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | |||
| Gynecology Physician | 207VG0400X | Primary | ||
| Ambulatory Fertility Facility | 261QA0006X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X |
Addresses
Primary practice location
111 S 12TH St
Mount Vernon, WA 98274-4000
Mailing address
PO Box 1407
Mount Vernon, WA 98273-1407
Phone (360) 824-5278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604425952 | Other | UBI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2166273 | Chinn GYN, LLC | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Mount Vernon, WA
- NPI 1336125343
-
- Advanced Practice Midwife
- Mount Vernon, WA
- NPI 1306087960
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1336602473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1407",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982731407",
"telephone_number": "360-824-5278",
"fax_number": "888-281-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 12TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744000",
"telephone_number": "360-824-5278",
"fax_number": "360-768-3134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHINN GYN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-06",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "CHINN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER & MEDICAL DIRECTOR",
"authorized_official_telephone_number": "360-824-5278",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0006X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Fertility Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "604425952",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.