Active NPI
Jonathan Chen
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Seattle, WA
National Provider Identifier
1972690071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD60351835
- Practice address
- 4800 Sand Point Way NE
2.820
Seattle, WA 98105-3901 - Phone
- (206) 987-5759
- Fax
- (206) 987-3839
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD60351835 | WA | Primary |
| Surgery Physician | 208600000X | MD60351835 | WA |
Addresses
Primary practice location
4800 Sand Point Way NE
2.820
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
2.820
Seattle, WA 98105-3901
Phone (206) 987-5159
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8392706 | Medicaid | NJ | |
| 0073377 | Medicaid | NJ | |
| 02242175 | Medicaid | NY | |
| W13551 | Other | NY | EMPIRE MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60351835 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Surgical Associates LTD | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Current | Accepting new patients | |
| Weill Medical College of Cornell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Weill Medical College of Cornell | Past | Accepting new patients |
Locations
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Philadelphia, PA
- NPI 1326117185
-
- Pediatric Sports Medicine Physician
- Philadelphia, PA
- NPI 1255528451
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New York, NY
- NPI 1508981796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1972690071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "2.820",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-5159",
"fax_number": "206-987-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "2.820",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-5759",
"fax_number": "206-987-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "MD60351835",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60351835",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8392706",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073377",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02242175",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "W13551",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.