John Huangsen Chiu, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003616 Issued in WA

Practice address

4816 She Nah Num Dr SE
Olympia, WA 98513-9105

Phone

(360) 459-5312

NPI assigned

May 3, 2007

Last updated

Dec 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Nisqually Indian Tribe

  • Clinic/Center
  • Olympia, WA
  • NPI 1477745925

  TX

  Medicare reassignment

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1790907582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 SHE NAH NUM DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139105",
            "telephone_number": "360-459-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 SHE NAH NUM DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139105",
            "telephone_number": "360-459-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "JOHN",
        "middle_name": "HUANGSEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Jar Yu Chin, M.D.
• Kathleen Chin, M.D.
• Victor M Chin, M.D.
• Tracey Louise Chirgwin, LMP
• Chiropractic Sports & Family Health Center, P.S.
• Loretta Chiu
• Joseph Paul Chiveney, M.A, LMHC (CMHS)
• Amanda Cho
• Deana Lynn Choi, M.D.
• Youngbin Choi, M.D.

• Physician Assistant in Olympia, WA
• Providers in Olympia, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.