Active NPI
Paul Chien-Chung Tseng, M.D.
- Gynecologic Oncology Physician
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- MD16438
- Practice address
- 201 N Mayfair Rd
Wauwatosa, WI 53226-4216 - Phone
- (414) 585-1949
- Fax
- (414) 585-1516
- NPI assigned
- May 27, 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | MD16438 | OR | Primary |
Addresses
Primary practice location
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Mailing address
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 585-1949
Other practice location 1
265 N Broadway St
Portland, OR 97227-1800
Phone (503) 274-4885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004312 | Medicaid | OR | |
| 1019685 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16438 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1040 NW 22nd Ave
Ste 440
Portland, OR 97210
Phone (503) 413-8654
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
2350 N Lake Dr
Ste G1
Milwaukee, WI 53211
Phone (414) 291-1556
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- ptseng8457@direct.lhs.org
Organizations & group practices 4
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1811990484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-585-1949",
"fax_number": "414-585-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-585-1949",
"fax_number": "414-585-1516"
}
],
"practiceLocations": [
{
"address_1": "265 N Broadway St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271800",
"country_code": "US",
"telephone_number": "503-274-4885",
"fax_number": "503-274-4814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSENG",
"first_name": "PAUL",
"middle_name": "CHIEN-CHUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "OR",
"license": "MD16438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004312",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019685",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.