Individual provider Active NPI

Wen T Shiao, M.D.

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1689652315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000013038 Issued in TN
Practice address
4571 Trousdale Dr
Nashville, TN 37204-4513
Phone
(615) 833-3414
Fax
(615) 833-8368
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000013038 TN Primary

Addresses

Primary practice location

4571 Trousdale Dr
Nashville, TN 37204-4513

Mailing address

4571 Trousdale Dr
Nashville, TN 37204-4513
Phone (615) 833-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000938 TN Practitioner - Family Practice 2860529849 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000013038TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689652315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 TROUSDALE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044513",
            "telephone_number": "615-833-3414",
            "fax_number": "615-833-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4571 TROUSDALE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044513",
            "telephone_number": "615-833-3414",
            "fax_number": "615-833-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIAO",
        "first_name": "WEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000013038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.