JENNIFER SHANJIAN ZHU CHEN (NPI# 1609014877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609014877 |
| Entity Type | Individual |
| Full Name | JENNIFER SHANJIAN ZHU CHEN |
| Credential | M.D. |
| Practice Address |
655 Harmon Loop Road Ste. 108 Dededo GU 96929-9692 |
| Mailing Address |
4815 N Assembly St Mann-grandstaff Va Medical Center Spokane WA 99205-6185 |
| Practice Telephone | 6716334447 |
| Mailing Telephone | 5094347000 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 156018 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
156018 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID (CSCHN) | 215985702 | 01 |
| TX | 215985701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4815 N Assembly St, Mann-grandstaff Va Medical Center, Spokane, WA 992056185 | 5094347000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619321304 | Jennifer Chen | Family Medicine | 845 Jackson St # B1, San Francisco, CA 94133-4851 | 2016-04-19 |
| 1932587201 | Jennifer M Chen | Obstetrics & Gynecology | 421 N Rodeo Dr Ph 1, Beverly Hills, CA 90210 | 2015-05-07 |
| 1033506142 | Jennifer See-wah Chen | Podiatrist | 504 W Baseline Rd Ste E, Glendora, CA 91740-4837 | 2015-04-16 |
| 1851727325 | Jennifer Sue-rurng Chen | Student in an Organized Health Care Education/Training Program | 2046 North Allen Avenue, Altadena, CA 91001 | 2013-09-17 |
| 1912258732 | Jennifer Chen | Acupuncturist | 25614 83rd Ave, Floral Park, NY 11004-1647 | 2012-09-20 |
| 1487945366 | Jennifer Y Chen | Psychologist | 310 8th St., Suite 210, Oakland, CA 94607-6526 | 2011-04-26 |
| 1104124643 | Jennifer Yu-chia Chen | Psychiatry & Neurology | 125 Paterson St Ste 6200, New Brunswick, NJ 08901-1962 | 2011-03-08 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1386857100 | Jennifer Lyn Chen | Optometrist | 10534 Liberty Rd, Frederick, MD 21701-2626 | 2007-05-08 |
| 1548335516 | Jennifer Chen | Internal Medicine | 416 W Las Tunas Dr Ste 303, San Gabriel, CA 91776-1236 | 2006-11-22 |
| Street Address |
655 HARMON LOOP ROAD STE. 108 |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-9692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689629362 | Hieu T Campus | Family Medicine | 655 Harmon Loop Road, Ste. 108, Dededo, GU 96929-9692 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 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.