JORDAN S D Y CHUN


Address: 1100 9th Ave, Seattle, WA 98101-2756
Phone: 2062236487

JORDAN S D Y CHUN (NPI# 1659487056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659487056
Entity Type Individual
Full Name JORDAN S D Y CHUN
Credential MD
Practice Address 1100 9th Ave
Seattle
WA 98101-2756
Mailing Address 1100 Olive Way
M4-pfs
Seattle
WA 98101-1873
Practice Telephone 2062236487
Mailing Telephone 2065155811
Enumeration Date 2006-08-21
Last Update Date 2010-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QS0010X Family Medicine
Specialization: Sports Medicine
MD-14369 HI Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
MD00046662 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
HI 599318-02 05
HI HMSA BILLING NUMBER 0000269092 01
WA 8554875 05

Office Location

Street Address 1100 9TH AVE
City SEATTLE
State WA
Zip Code 98101-2756

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770585002 Carolyn A Searles Nurse Practitioner 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 2005-05-31
1134728967 Xiaodi Feng Physician Assistant 1100 9th Ave, Seattle, WA 98101-2756 2020-10-22
1841898574 Allison Elizabeth Wong Genetic Counselor, MS 1100 9th Ave, Seattle, WA 98101-2756 2020-10-14
1558978346 Amy Frick Dietitian, Registered 1100 9th Ave, Seattle, WA 98101-2756 2020-09-25
1942814736 Chelsea Jackson Registered Nurse 1100 9th Ave, Seattle, WA 98101-2756 2020-08-31
1033737317 Rachel Kathleen Gibbons Pharmacist 1100 9th Ave, Seattle, WA 98101-2756 2020-07-13
1649896275 Christian James West Nurse Practitioner 1100 9th Ave, Seattle, WA 98101-2756 2020-06-19
1124643341 Carter Gisriel Nurse Anesthetist, Certified Registered 1100 9th Ave, Seattle, WA 98101-2756 2020-06-12
1578186680 Lisa Anne Leitzelar Social Worker 1100 9th Ave, Seattle, WA 98101-2756 2020-05-22
1922628809 Yekaterina Shchapina Registered Nurse 1100 9th Ave, Seattle, WA 98101-2756 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659987485 David James Sanders Internal Medicine 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 2020-09-17
1295356483 Yvette Marie Sampson Peer Specialist Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 2020-04-29
1699313353 Eunyoung Kim Pharmacist 925 Seneca Street, H3-pi, Seattle, WA 98101 2019-12-12
1407405657 Maryanne Wambui Mirie Registered Nurse Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 2019-09-10
1437714854 Bossakara Sokhom Student in an Organized Health Care Education/Training Program 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 2019-05-01
1841752516 Hai Quan Ngoc Truong Student in an Organized Health Care Education/Training Program 925 Seneca St, H8-gme, Seattle, WA 98101 2019-04-02
1134689318 Kaitlin Alyse Geck Student in an Organized Health Care Education/Training Program 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 2019-03-22
1659860088 Jaime Mauricio Jimenez Student in an Organized Health Care Education/Training Program Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 2018-05-01
1184156861 Benjamin Perin Student in an Organized Health Care Education/Training Program 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 2017-03-31
1316478258 John Robert Coleman Anesthesiology 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 2017-03-22
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649211764 Mark David Wagner Family Medicine 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 2006-06-09
1497173991 Ashley Austin Family Medicine 1959 Ne Pacific St, Seattle, WA 98195-0816 2014-04-01
1871859942 Brian Kenneth Snitily Family Medicine 601 Broadway Fl 6, Seattle, WA 98122-5330 2012-04-03
1316142862 Emily L Cooper Family Medicine 400 N 34th St, 300, Seattle, WA 98103-8600 2007-06-15
1063563229 Maxine J. Weyant Family Medicine 901 Boren Ave, Suite 900, Seattle, WA 98104-3595 2007-01-15
1629177225 Sports Medicine Group Family Medicine 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 2006-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326565110 Family Care Network, Pllc Family Medicine 3130 Squalicum Pkwy Ste 110, Bellingham, WA 98225-1940 2017-08-23
1578682100 Robert Stewart Nicol Family Medicine 23512 Ne 206th St, Battle Ground, WA 98604-9699 2007-03-28
1912033663 Richard Terril Jacobs Family Medicine 1351 Fowler St, Richland, WA 99352-4714 2007-02-26
1821132481 James E Hult Family Medicine 800 N 5th Ave # 101, Sequim, WA 98382-3045 2007-02-16
1598874430 Patrick Z Pearce Family Medicine 730 N Hamilton St, Spokane, WA 99202-2045 2006-08-30
1265450514 Lawrence J Greenblatt X Family Medicine 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 2006-07-17
1528015229 Public Hospital District #1 of King County Family Medicine 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 2006-05-28
1063486074 Warren Billings Howe Family Medicine 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225-5946 2006-02-15
1588280804 Rainier Family and Sports Medicine P C Family Medicine 16202 64th St E Ste 104, Sumner, WA 98390-3028 2020-06-23
1417469404 Maksportsmd Family Medicine 19110 Bothell Way Ne Ste 102, Bothell, WA 98011-2970 2017-10-30
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Competitor

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City SEATTLE
Zip Code 98101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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