Provider Demographics
NPI:1316924533
Name:CHEN, STEVE Y (MD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:Y
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 134TH ST SW
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5322
Mailing Address - Country:US
Mailing Address - Phone:425-297-6200
Mailing Address - Fax:425-297-6250
Practice Address - Street 1:500 17TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5711
Practice Address - Country:US
Practice Address - Phone:206-320-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000450932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00228466OtherRAILROAD MEDICARE
WA197410OtherL&I PROV NO.
WAP00319069OtherRAILROAD MEDICARE
WA8425787Medicaid
AZZ148033Medicare PIN
AZZ139718Medicare PIN
WAI06387Medicare UPIN
WA8854114Medicare ID - Type UnspecifiedPROVIDER NO.
WA8854113Medicare ID - Type UnspecifiedPROVIDER NUMBER
WA8857971Medicare PIN
WA8425787Medicaid
WA197410OtherL&I PROV NO.
WAP00319069OtherRAILROAD MEDICARE