Active NPI
Chukiat Tansuwan, MD
- Pulmonary Disease Physician
- Ferguson, MO
National Provider Identifier
1457351264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35556
- Practice address
- 40 N Florissant Rd
Ferguson, MO 63135-2332 - Phone
- (314) 521-1302
- Fax
- (314) 521-5120
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35556 | MO | Primary |
Addresses
Primary practice location
40 N Florissant Rd
Ferguson, MO 63135-2332
Mailing address
40 N Florissant Rd
Ferguson, MO 63135-2332
Phone (314) 521-1302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1457351264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 N FLORISSANT RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631352332",
"telephone_number": "314-521-1302",
"fax_number": "314-521-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N FLORISSANT RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631352332",
"telephone_number": "314-521-1302",
"fax_number": "314-521-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANSUWAN",
"first_name": "CHUKIAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "35556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferguson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.