Jim Nan Chen, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M001517 Issued in GU

Practice address

241 Farenholt Ave Ste 202
Tamuning, GU 96913-3222

Phone

(671) 649-9693

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jiun Nan Chen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952497380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 TUMON LN APT 907",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134318",
            "telephone_number": "671-488-3750",
            "fax_number": "671-649-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FARENHOLT AVE STE 202",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133222",
            "telephone_number": "671-649-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JIM",
        "middle_name": "NAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GU",
            "license": "M001517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIUN",
            "last_name": "CHEN",
            "middle_name": "NAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Troadio Buenaventura Castro, M.D.
• Elizabeth Q Cauley
• Center for Women's Health, LLC
• Keith Ming Chan, PT
• Young Chang, MD
• Ramsey Neal Chichakli, M.D.
• Alison Chong, FNP
• Dae-Eil Chong
• James Grant Christian, O.D.
• Sarah Lee Clegg, D.D.S

• Urology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Urology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.