=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740243732
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHIEN S HSU MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2006
-----------------------------------------------------
Last Update Date | 10/25/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 303 WEST LINCOLN AVE
-----------------------------------------------------
City | MCDONALD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15057-1406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-926-8300
-----------------------------------------------------
Fax | 724-926-8399
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 303 WEST LINCOLN AVE
-----------------------------------------------------
City | MCDONALD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15057-1406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-926-8300
-----------------------------------------------------
Fax | 724-926-8399
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. SHIEN S. HSU
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 724-926-8300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD035425L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------