Organization Active NPI

Enoch N Tsai, MD PA 111 Gregg Ave

  • Ophthalmology Physician
  • Aiken, SC
National Provider Identifier
1417011586
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7950 Issued in SC
Legal business name
ENOCH N TSAI, MD PA 111 GREGG AVE
Practice address
111 Gregg Ave
Aiken, SC 29801-2797
Phone
(803) 649-7991
Fax
(803) 649-7633
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Enoch Tsai, M.D.
Title
President
Phone
(803) 649-7991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 7950 SC Primary

Addresses

Primary practice location

111 Gregg Ave
Aiken, SC 29801-2797

Mailing address

111 Gregg Ave
Aiken, SC 29801-2797
Phone (803) 649-7991

Other identifiers 1

IdentifierTypeStateIssuer
GP3733MedicaidSC

National Provider Directory

National Provider Directory

Locations

111 Gregg Ave NW
Aiken, SC 29801
Phone (706) 426-7342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1417011586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GREGG AVE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012797",
            "telephone_number": "803-649-7991",
            "fax_number": "803-649-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREGG AVE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012797",
            "telephone_number": "803-649-7991",
            "fax_number": "803-649-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCH N TSAI, MD PA 111 GREGG AVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-649-7991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "7950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3733",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.