Hong Chu Wang, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

22834 Issued in WI

Practice address

480 E Division St
Fond Du Lac, WI 54935-3734

Phone

(920) 926-4101

Fax

(920) 926-4190

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Wisconsin Radiation Oncology, S.C.

  • Radiation Oncology Physician
  • Fond Du Lac, WI
  • NPI 1144247941
  NPD (past)
• Pathology Physicians LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Green Bay, WI
  • NPI 1326090846
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114938156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "address_2": "P O BOX 8031",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115490",
            "telephone_number": "800-236-1428",
            "fax_number": "920-739-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353734",
            "telephone_number": "920-926-4101",
            "fax_number": "920-926-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HONG",
        "middle_name": "CHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "22834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30297400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A Walker, CST
• Waller Anesthesia Services LLC
• Jacob Robert Wallock, DDS
• Katherine Kristine Waltenberry
• Jeffrey L Walters, D.C.
• Margaret L Ward
• Eveline Grace Waters
• Renee Louise Waters, CMT
• Tanya Watry, PA-C
• Conor Watson

• Radiation Oncology Physician in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Radiation Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.