Provider Demographics
NPI:1598590770
Name:HSIEH MEDICAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:HSIEH MEDICAL ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANSON
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-781-0167
Mailing Address - Street 1:1402 ANDREA ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-3336
Mailing Address - Country:US
Mailing Address - Phone:270-781-0167
Mailing Address - Fax:270-781-7112
Practice Address - Street 1:1402 ANDREA ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-3336
Practice Address - Country:US
Practice Address - Phone:270-781-0167
Practice Address - Fax:270-781-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty