Chiniko LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071514 Issued in OR

Legal business name

CHINIKO LLC

Doing business as

Eye Surgery Center

Practice address

2700 14TH Ave SE
Albany, OR 97322

Phone

(541) 928-1667

Fax

(541) 928-1817

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Darrell Genstler, MDNPI 1063523751

Title

Owner

Phone

(541) 928-1667

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Eye Surgery CenterCCN 38C0001009

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darrell E Genstler, MD

  • Ophthalmology Physician
  • Albany, OR
  • NPI 1063523751
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1497851893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97322",
            "telephone_number": "541-928-1667",
            "fax_number": "541-928-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97322",
            "telephone_number": "541-928-1667",
            "fax_number": "541-928-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINIKO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GENSTLER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-928-1667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158905",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490003810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaarina Vialle Charlot, PA-C
• Danielle Kristine Chartraw
• Carol L. Chervenak, M.D.
• Jason Chin, LCSW
• Raymond N Chin, MD
• Chiropractic Management Services, P.C. (Advanced Chiropractic)
• Laura Caitlin Chisholm, LCSW
• Matthew Chrabascz, CRNA
• Anne R Christensen, MD
• Eric Dane Christensen

• Ambulatory Surgical Clinic/Center in Albany, OR
• Providers in Albany, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.