Vadim Vladimirovich Chesnokov

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

61544854 Issued in WA

Practice address

1959 NE Pacific Street Box 356410
Seattle, WA 98195-9600

Phone

(206) 543-3687

NPI assigned

Feb 13, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1356048136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NE 71ST ST APT 507",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155878",
            "telephone_number": "360-977-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET BOX 356410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981959600",
            "telephone_number": "206-543-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Seneca St.",
            "address_2": "H8-GME",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012742",
            "country_code": "US",
            "telephone_number": "206-624-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESNOKOV",
        "first_name": "VADIM",
        "middle_name": "VLADIMIROVICH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "ML61544854",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "61544854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Isidor Cherry, MD
• Cheryl Henry Psychotherapy Inc
• Cheryl M. Cebula, MSW PLLC
• Bailey D.S. Cheshire
• Ashleigh Cheslek
• Charles H Chesnut III, MD
• Randall Matthew Chesnut
• Edward Chesnutis III, DPM
• Meta Chessin, PT
• Ruth Chester-Jones, MSW

• Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.