Provider Demographics
NPI:1316919640
Name:TSAI, THOMAS JAY (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAY
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:650 GRAHAM RD
Mailing Address - Street 2:STE 103
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1052
Mailing Address - Country:US
Mailing Address - Phone:330-434-1185
Mailing Address - Fax:330-434-8533
Practice Address - Street 1:650 GRAHAM RD
Practice Address - Street 2:STE 103
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1052
Practice Address - Country:US
Practice Address - Phone:330-434-1185
Practice Address - Fax:330-434-8533
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044011207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0561011Medicaid
A80895Medicare UPIN
0550319Medicare ID - Type Unspecified3591 RESERVE COMMONS DR
0550313Medicare ID - Type Unspecified
OH0561011Medicaid
0550316Medicare ID - Type Unspecified9480 ROSEMONT DR
0550318Medicare ID - Type Unspecified650 GRAHAM ROAD
0550317Medicare ID - Type Unspecified2013 STATE ROUTE 59