DR. YUEH JU HSIAO (NPI# 1740416783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740416783 |
| Entity Type | Individual |
| Full Name | DR. YUEH JU HSIAO |
| Credential | D.M.D, M.S. |
| Practice Address |
3223 N Broad St Philadelphia PA 19140-5007 |
| Mailing Address |
3695 Manor Rd Bethlehem PA 18020-8609 |
| Practice Telephone | 2157072803 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS037678 | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS037678 | PA | Dental Providers |
| Street Address |
3223 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581959 | Dione J Cash | Pediatrics | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2005-10-12 |
| 1992313357 | Amir Maki | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-21 |
| 1386252070 | Maria Jun | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
| 1407464423 | Ping Wang | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-15 |
| 1104450535 | Vladimir Flys | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-02-25 |
| 1366090094 | Nicholas Bizzaro | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-08-27 |
| 1619537743 | Thomas Adel | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-20 |
| 1972163897 | Divya Trikannad | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-13 |
| 1588221717 | Joseph Leonard Mustazza | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-22 |
| 1790341048 | Gregory Ramirez | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| 1558720094 | Fathi Elgaddari | Dentist | 1500 Locust St Apt 1715, Philadelphia, PA 19102-4337 | 2016-02-11 |
| 1790185528 | David Paul Semeniuk | Dentist | 3223 N Broad St Rm 302, Philadelphia, PA 19140-5007 | 2014-08-28 |
| 1740616895 | Periodontal Consultants PC | Dentist | 2546 S Broad St Rear, Philadelphia, PA 19145-4638 | 2013-09-20 |
| 1942548664 | Peter Robert Hunt | Dentist | 266 S 21st St, Philadelphia, PA 19103-4860 | 2013-01-31 |
| 1083999759 | Merriam Seyedain | Dentist | 3223 N Broad St Ste 2a07, Philadelphia, PA 19140-5007 | 2011-10-13 |
| 1710275284 | Juan Carlos Cabrera | Dentist | 220 S 16th St Ste 901, Philadelphia, PA 19102-3309 | 2011-07-18 |
| 1982867412 | Scott Nakamura | Dentist | 240 S 4th St # 300, Philadelphia, PA 19106-3722 | 2008-07-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.