Healthcare Provider Details

I. General information

NPI: 1144683368
Provider Name (Legal Business Name): ANSON KA-CHENG CHU DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10455 ORTHOPAEDIC DR
NEWBURGH IN
47630-7955
US

IV. Provider business mailing address

PO BOX 328
EVANSVILLE IN
47702-0328
US

V. Phone/Fax

Practice location:
  • Phone: 812-424-9291
  • Fax: 812-421-2722
Mailing address:
  • Phone: 812-424-9291
  • Fax: 812-421-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number297742
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07001492A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC006989
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: