DR. JOHN W HSU (NPI# 1043439748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043439748 |
| Entity Type | Individual |
| Full Name | DR. JOHN W HSU |
| Other Name | DR. JOHNNY W HSU |
| Credential | MD |
| Practice Address |
200 E Pennsylvania Ave Suite 212 Peoria IL 61603-3089 |
| Practice Telephone | 3096768123 |
| Practice Fax Number | 3096768455 |
| Mailing Telephone | 3096768123 |
| Mailing Fax Number | 3096768455 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 036129902 | IL | Allopathic & Osteopathic Physicians |
| N | 204F00000X | Transplant Surgery | 43890 | AZ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD433479 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 569040 | 05 | |
| PA | 102548086 | 05 | |
| MEDICARE PTAN | 202466 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790072593 | John Chengming Hsu | Acupuncturist | 3402 N Goldenrod Rd, Winter Park, FL 32792-8721 | 2011-06-30 |
| 1093038135 | John Fu-tsun Hsu | Plastic Surgery | 416 N Bedford Dr Ste 100, Beverly Hills, CA 90210-4308 | 2010-03-03 |
| 1326313149 | John Tseng Tung Hsu | Specialist | 217 E 96th St, 35c, New York, NY 10128-3950 | 2012-03-12 |
| 1760513501 | John Hsu | Dentist | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2007-03-07 |
| 1649339300 | John C. Hsu | Family Medicine | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-12-08 |
| 1134296031 | John Y. Hsu | Anesthesiology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-11-29 |
| 1518045186 | John Hsu | Internal Medicine | 1950 Franklin St, Oakland, CA 94612-5103 | 2006-11-01 |
| 1487689279 | John Hsu | Anesthesiology | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2006-07-11 |
| 1013903004 | John D. Hsu | Orthopaedic Surgery | 7601 E. Imperial Highway, Jpi 3rd Floor, Downey, CA 90242-3456 | 2005-09-23 |
| Street Address |
200 E PENNSYLVANIA AVE SUITE 212 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901711 | James W Bauer | Internal Medicine | 200 E Pennsylvania Ave, Ste 105, Peoria, IL 61603-3045 | 2005-06-09 |
| 1205473154 | Gargi Dnyanesh Gupte | Physician Assistant | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2019-12-10 |
| 1487127734 | Stephanie S Beckstrom | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2019-01-09 |
| 1174093009 | Katelyn M Johnson | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-12-04 |
| 1093298127 | Loan T Nguyen | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-09-14 |
| 1922580695 | Anna K Boyce | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-08-30 |
| 1033604855 | Caroline Marie Boczar | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-06-25 |
| 1831608991 | Laurel K Donaldson | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2017-09-21 |
| 1851818835 | Cynthia I Guede | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2017-08-29 |
| 1275986051 | Travis E. Towne | Social Worker | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2016-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974597 | Timothy P Oconnor | Transplant Surgery | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992739 | Pierpaolo Di Cocco | Transplant Surgery | 4041 N Keystone Ave Apt A, Chicago, IL 60641-5556 | 2017-10-04 |
| 1790203057 | Rosario Angelica Perez Gutierrez | Transplant Surgery | 5841 S Maryland Ave # 5027, Chicago, IL 60637-1443 | 2017-09-06 |
| 1083003958 | Med-care Physicians LLC | Transplant Surgery | 3s138 Park Blvd, Glen Ellyn, IL 60137-7233 | 2015-01-15 |
| 1609122159 | Jorge Alberto Almario | Transplant Surgery | 2160 S 1st Ave Rm 1739, Maywood, IL 60153-3328 | 2012-08-01 |
| 1790913093 | Inbo Shim | Transplant Surgery | 5841 S Maryland Ave # J517, Chicago, IL 60637-1447 | 2009-06-24 |
| 1659558732 | Frederick Karl Merkel | Transplant Surgery | 151 Sheridan Rd, Kenilworth, IL 60043-1214 | 2008-01-30 |
| 1568664555 | Ivo Georgiev Tzvetanov | Transplant Surgery | 840 S. Wood Street - Mc 958, Ste 402, Chicago, IL 60612-4325 | 2007-06-03 |
| 1447315270 | James M Millis | Transplant Surgery | 180 Harvester Dr Ste 300, Burr Ridge, IL 60527-7594 | 2006-12-22 |
| 1558471862 | Dympna M Kelly | Transplant Surgery | 5841 S Maryland Ave # Mc5026, Chicago, IL 60637-1443 | 2006-08-30 |
| 1124050406 | Joseph R Leventhal | Transplant Surgery | 676 N Saint Clair St Fl 19, Chicago, IL 60611-2927 | 2006-07-07 |
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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.