Andre Kon-Sang Tse, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21130 Issued in NC

Practice address

158 Memorial CT
Jacksonville, NC 28546-6322

Phone

(910) 353-5111

Fax

(910) 353-2849

NPI assigned

Jul 14, 2005

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atse@goshenmedical.cloudcraftdirect.com

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

• Andre KS Tse MD PA

  • Specialist
  • Jacksonville, NC
  • NPI 1952356800
  Authorized official Same address or phone
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1871591644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 DARRINGTON DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138158",
            "telephone_number": "919-852-3999",
            "fax_number": "193-789-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MEMORIAL CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466322",
            "telephone_number": "910-353-5111",
            "fax_number": "910-353-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Darrington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138158",
            "country_code": "US",
            "telephone_number": "919-852-3999",
            "fax_number": "919-378-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSE",
        "first_name": "ANDRE",
        "middle_name": "KON-SANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "21130",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "21130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871591644",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Tring
• Kristin Doughty Trowbridge, NP
• Taylor Brooke Trull, LCMHC-A
• Tam H Truong, DMD
• Catherine E Tsai, MD
• Hailey Turlington
• Maryann Byron Turlington, RD,LDN
• Wade R Turlington, M.D.
• Dawnna Turner
• Stephanie Sue Turpin, FNP

• Internal Medicine Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.