Cham Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CHAM ANESTHESIA SERVICES LLC

Practice address

4501 244TH St SE
Bothell, WA 98021-6701

Phone

(206) 778-5174

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Ebou Cham

Title

Owner

Phone

(206) 778-5174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1619705811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 244TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980216701",
            "telephone_number": "206-778-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 244TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980216701",
            "telephone_number": "206-778-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAM ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "CHAM",
        "authorized_official_first_name": "EBOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-778-5174"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bothell, WA
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.