Organization Active NPI

Robert K Chow, MD P.S.

  • Dermatology Physician
  • Burien, WA
National Provider Identifier
1568569747
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00037378 Issued in WA
Legal business name
ROBERT K CHOW, MD P.S.
Practice address
13512 Ambaum Blvd SW
#100
Burien, WA 98146-3168
Phone
(206) 324-7546
Fax
(206) 324-7547
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. Robert KP Chow, MDNPI 1184733024
Title
Owner/Doctor
Phone
(206) 324-7546

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD00037378 WA Primary

Addresses

Primary practice location

13512 Ambaum Blvd SW
#100
Burien, WA 98146-3168

Mailing address

13512 Ambaum Blvd SW
#100
Burien, WA 98146-3168
Phone (206) 324-7546

Other identifiers 1

IdentifierTypeStateIssuer
5354CHOtherWABLUESHIELD REGENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001122 WA Part B Supplier - Clinic/Group Practice 5294627287 Receives reassigned benefits from 2 practitioners
Practice locations: Burien, WA

National Provider Directory

National Provider Directory

Locations

13512 Ambaum Blvd SW
#100
Burien, WA 98146
Phone (206) 324-7546

13512 Ambaum Blvd SW
Ste 100
Burien, WA 98146
Phone (206) 324-7546

4509 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 228-4520

Practitioners & affiliated clinicians

Practitioners 9

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1568569747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 AMBAUM BLVD SW",
            "address_2": "#100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463168",
            "telephone_number": "206-324-7546",
            "fax_number": "206-324-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 AMBAUM BLVD SW",
            "address_2": "#100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463168",
            "telephone_number": "206-324-7546",
            "fax_number": "206-324-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K CHOW, MD P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KP",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "206-324-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00037378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD REGENCE",
            "identifier": "5354CH",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.