Jim Nan Chen, M.D.
Individual provider Active NPI Urology Physician · Tamuning, GU
NPI 1952497380 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952497380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- M001517 (GU)
- Practice address
- 241 Farenholt Ave Ste 202
Tamuning, GU 96913-3222 - Phone
- (671) 649-9693
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M001517 | GU | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | M001517 | GU | Yes |
Addresses
Primary practice location
241 Farenholt Ave Ste 202
Tamuning, GU 96913-3222
Mailing address
193 Tumon LN Apt 907
Tamuning, GU 96913-4318
Phone (671) 488-3750
Other names
- Dr. Jiun Nan Chen
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.