Active NPI
Devorah Alana Chock, M.D.
- Surgery Physician
- Everett, WA
National Provider Identifier
1497780209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A65092
- Practice address
- 125 130TH St SE
First Floor
Everett, WA 98208 - Phone
- (425) 385-2263
- Fax
- (425) 385-8476
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A65092 | CA | Primary |
Addresses
Primary practice location
125 130TH St SE
First Floor
Everett, WA 98208
Mailing address
125 130TH St SE
First Floor
Everett, WA 98208
Phone (425) 385-2263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A650920 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 9, 2015 through Jun 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65092 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Weight Loss Surgery, PLLC | Past | Accepting new patients | |
| Sound Surgeons PLLC | Past | Accepting new patients | |
| Sound Weight and Wellness PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1396123865
-
- Specialist
- Everett, WA
- NPI 1023069747
-
- Obesity Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1275105728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1497780209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 130TH ST SE",
"address_2": "FIRST FLOOR",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-385-2263",
"fax_number": "425-385-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 130TH ST SE",
"address_2": "FIRST FLOOR",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-385-2263",
"fax_number": "425-385-8476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOCK",
"first_name": "DEVORAH",
"middle_name": "ALANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A65092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A650920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.