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Physician Compare National (NPI:1013903707)

HEALTHCARE PROVIDER: GEORGE S.L. CHIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1013903707
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3870526528
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050914000355
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHIN
Individual professional last name
Provider First Name GEORGE
Individual professional first name
Provider Middle Name S.L.
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty GASTROENTEROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1550 S POTOMAC ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 300
Group Practice or individual's line 2 address
City AURORA
Group Practice or individual's city
State CO
Group Practice or individual's state
Zip Code 800125433
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 060032
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ROSE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment M

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