Provider Demographics
NPI:1629062385
Name:CHEN, TAIWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAIWEN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAI
Other - Middle Name:W
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 HOSPITAL DR STE 1C
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5250
Practice Address - Country:US
Practice Address - Phone:828-687-9758
Practice Address - Fax:828-687-9764
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057524L207RC0200X, 207RP1001X
FLME125063207RC0200X, 207RP1001X
NC2021-02668207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001788325Medicaid
PA0017883250005Medicaid
FL250517800Medicaid
FL250517800Medicaid
PA0017883250005Medicaid
FLIH556ZMedicare PIN
PA173211R6LMedicare PIN