1972703015 NPI number — DR. FELIX WANG TSAI M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972703015 NPI number — DR. FELIX WANG TSAI M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

TSAI

Provider First Name:

FELIX

Provider Middle Name:

WANG

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1972703015

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

12/10/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 741593

Provider Second Line Business Mailing Address:

CSSG CARDIAC SURGERY

Provider Business Mailing Address City Name:

ATLANTA

Provider Business Mailing Address State Name:

GA

Provider Business Mailing Address Postal Code:

30374-1593

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

757-668-8544

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

601 CHILDREN'S LANE

Provider Second Line Business Practice Location Address:

CARDIAC SURGERY

Provider Business Practice Location Address City Name:

NORFOLK

Provider Business Practice Location Address State Name:

VA

Provider Business Practice Location Address Postal Code:

23507-1910

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

757-668-8850

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

07/18/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2080P0202X , with the licence number:  N1191 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208G00000X , with the licence number: FTL 41883 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208G00000X , with the licence number: 27000 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208G00000X , with the licence number: N1191 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208G00000X , with the licence number: 0101249419 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 189048504 . This is a "CSHCN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 8A4325 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 5917693 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
• Identifier: 1972703015 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
• Identifier: 189048503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 189048501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 189048502 . This is a "CSHCN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".