Willie Tsiu, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD016554 Issued in TN

Practice address

806 Estate PL
Memphis, TN 38120-0600

Phone

(901) 767-3620

Fax

(901) 683-0285

NPI assigned

Nov 16, 2006

Last updated

May 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1144393273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-767-3620",
            "fax_number": "901-683-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Estate Dr",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190601",
            "country_code": "US",
            "telephone_number": "901-767-3620",
            "fax_number": "901-683-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSIU",
        "first_name": "WILLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD016554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6013559",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005404",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06055312",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack W Tsao, MD, DPHIL
• Miriam Wing San Tsao, MD
• Donna Tschopp, EP
• George Albert Tsirgiotis, LPC, LMFT
• Sandra J. Tsiu, PHARMD
• Karen Tsui, M.D.
• Toni H Tubb, MD
• Hannah Tubbs
• Kevin Cody Tubbs, MS, ATC, LAT
• Leah Tubbs

• Pediatrics Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.