Individual provider Active NPI

Atanacio Henson Tiongson, M.D.

  • Ophthalmology Physician
  • Logansport, IN
National Provider Identifier
1528047784
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01028875A Issued in IN
Practice address
1315 Smith St
Logansport, IN 46947-1556
Phone
(574) 722-1212
NPI assigned
Jan 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01028875A IN Primary

Addresses

Primary practice location

1315 Smith St
Logansport, IN 46947-1556

Mailing address

1315 Smith St
Logansport, IN 46947-1556
Phone (574) 722-1212

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

State licenses

LicenseStateTypeSpecialty
01028875AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians Inc Ophthalmology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1528047784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SMITH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471556",
            "telephone_number": "574-722-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 SMITH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471556",
            "telephone_number": "574-722-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIONGSON",
        "first_name": "ATANACIO",
        "middle_name": "HENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-15",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01028875A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.