Provider Demographics
NPI:1477617025
Name:CHIEN, TONY L (DO)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:L
Last Name:CHIEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1449
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-0449
Mailing Address - Country:US
Mailing Address - Phone:636-778-9341
Mailing Address - Fax:636-778-9342
Practice Address - Street 1:2821 N BALLAS RD STE C20
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2300
Practice Address - Country:US
Practice Address - Phone:636-778-9341
Practice Address - Fax:636-778-9342
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND10081207X00000X
MO2008016777207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1477617025Medicaid
ND711655Medicare PIN
NDH84901Medicare UPIN
MO1477617025Medicaid