NPIMap

Organization Active NPI

South Sound Oncology Services, P.C.

  • Hematology & Oncology Physician
  • Renton, WA
National Provider Identifier
1376938506
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SOUTH SOUND ONCOLOGY SERVICES, P.C.
Practice address
1412 SW 43Rd St Ste 200
Renton, WA 98057-4803
Phone
(206) 588-1722
Fax
(253) 277-8413
NPI assigned
Apr 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Dr. Naixi Nick Chen, M.D.NPI 1265490312
Title
President
Phone
(206) 588-1722

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Oncology Clinic/Center 261QX0200X MD00040607 WA

Addresses

Primary practice location

1412 SW 43Rd St Ste 200
Renton, WA 98057-4803

Mailing address

PO Box 66596
Seattle, WA 98166-0596
Phone (206) 588-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150604001942 WA Part B Supplier - Clinic/Group Practice 3779804547 Receives reassigned benefits from 2 practitioners
Practice locations: Renton, WA
O20170802001999 WA DME Supplier - Physician - Hematology/Oncology 3779804547 Practice locations: Renton, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1376938506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66596",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660596",
            "telephone_number": "206-588-1722",
            "fax_number": "253-277-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "206-588-1722",
            "fax_number": "253-277-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND ONCOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-04",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "NAIXI",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-588-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "WA",
            "license": "MD00040607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.