Individual provider Active NPI

Anita Jar Yu Chin, M.D.

  • Obstetrics & Gynecology Physician
  • Olympia, WA
National Provider Identifier
1730110446
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60518232 Issued in WA
Practice address
615 Lilly Rd NE Ste 200
Olympia, WA 98506
Phone
(360) 413-8413
Fax
(360) 413-7143
NPI assigned
Jul 5, 2006
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M2923 TX
Obstetrics & Gynecology Physician 207V00000X MD60518232 WA Primary

Addresses

Primary practice location

615 Lilly Rd NE Ste 200
Olympia, WA 98506

Mailing address

PO Box 1008
Olympia, WA 98507-1008
Phone (360) 413-8413

Other identifiers 1

IdentifierTypeStateIssuer
1730110446MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060914000108 TX Practitioner - Obstetrics/Gynecology 3375547805 Reassigns benefits to 1 organization
I20170815004043 WA Practitioner - Obstetrics/Gynecology 3375547805 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 Lilly Rd NE
Suite 200
Olympia, WA 98506-5137
Phone (360) 413-8413

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Jan 29, 2021 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Feb 19, 2015 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 1, 2023 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Feb 19, 2015 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

615 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 413-8413

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

201 Tahoma Blvd
Unit 204
Yelm, WA 98597
Phone (360) 413-8413

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1730110446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985071008",
            "telephone_number": "360-413-8413",
            "fax_number": "360-413-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-413-8413",
            "fax_number": "360-413-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ANITA",
        "middle_name": "JAR YU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M2923",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60518232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730110446",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.