Active NPI
Chen Wang, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 59198
- Practice address
- 424 S 56TH St Ste 110
Phoenix, AZ 85034-2177 - Phone
- (602) 685-5211
- Fax
- (480) 478-8091
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 036-114610 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 59198 | AZ | Primary |
Addresses
Primary practice location
424 S 56TH St Ste 110
Phoenix, AZ 85034-2177
Mailing address
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (309) 674-7546
Other practice location 1
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (309) 674-7546 ext. 430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.84 of 100
- Quality
- 62.03
- Improvement activities
- 40
- Cost
- 86.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.75 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-114610 | IL | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Vista Dermatology, LLC | Current | Accepting new patients | |
| Regency Skin Institute PLLC | Current | Accepting new patients | |
| Clin-Path Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Specialist of Arizona, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Sonoran Radiology LTD | Past | Accepting new patients | |
| Tucson Pathology Associates P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077
424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059
424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057
7350 E Speedway Blvd
Ste 101
Tucson, AZ 85710
206 W County Line Rd
Ste 340
Highlands Ranch, CO 80129
Phone (303) 888-6426
206 W County Line Rd
#340
Highlands Ranch, CO 80129
Phone (303) 888-6426
Organizations & group practices 6
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.
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- Anatomic Pathology & Clinical Pathology Physician
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- MOHS-Micrographic Surgery Physician
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- NPI 1932630563
-
- Dermatology Physician
- Highlands Ranch, CO
- NPI 1053641381
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1912093873
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1174599260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 N GLEN PARK PLACE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144676",
"telephone_number": "309-674-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S 56TH ST STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342177",
"telephone_number": "602-685-5211",
"fax_number": "480-478-8091"
}
],
"practiceLocations": [
{
"address_1": "4909 N Glen Park Place Rd",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616144676",
"country_code": "US",
"telephone_number": "309-674-7546 x430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "CHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "IL",
"license": "036-114610",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "59198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.