Organization Active NPI

Queen Anne Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Seattle, WA
National Provider Identifier
1992738918
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
602256276 Issued in WA
Legal business name
QUEEN ANNE OBSTETRICS AND GYNECOLOGY
Practice address
220 W Mercer St Ste 110
Seattle, WA 98119-3954
Phone
(206) 781-1830
Fax
(206) 283-3640
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Mrs. Yun Chen
Title
Office Manager
Phone
(206) 781-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 602256276 WA Primary

Addresses

Primary practice location

220 W Mercer St Ste 110
Seattle, WA 98119-3954

Mailing address

220 W Mercer St Ste 110
Seattle, WA 98119-3954
Phone (206) 781-1830

Other identifiers 1

IdentifierTypeStateIssuer
7114788MedicaidWA

National Provider Directory

National Provider Directory

Locations

220 W Mercer St
Ste 110
Seattle, WA 98119
Phone (206) 781-1830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1992738918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MERCER ST STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193954",
            "telephone_number": "206-781-1830",
            "fax_number": "206-283-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MERCER ST STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193954",
            "telephone_number": "206-781-1830",
            "fax_number": "206-283-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN ANNE OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YUN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-781-1830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "602256276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114788",
            "state": "WA"
        }
    ],
    "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 Apr 29, 2013; 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.