Cheuk Mun Au
Individual provider Active NPI Family Medicine Physician · Washington, PA
NPI 1437801701 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1437801701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MT224756 (PA)
- Practice address
- 95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368 - Phone
- (724) 223-3100
- NPI assigned
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT224756 | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT224756 | PA | Yes |
Addresses
Primary practice location
95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368
Mailing address
95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368
NPI Registry JSON
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1437801701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 LEONARD AVE BLDG 22ND",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 LEONARD AVE BLDG 22ND",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013368",
"telephone_number": "724-223-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU",
"first_name": "CHEUK MUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT224756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.