Priscilla Joy Tang, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

58015 Issued in KY

Practice address

1945 Highland Pike Ste 1
Ft Wright, KY 41017-8127

Phone

(859) 331-4005

Fax

(859) 331-4606

NPI assigned

Mar 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: priscella.tang.p4@direct.cps.nextgenshare.com

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.

• Pediatric Partners of Northern Kentucky

  • Pediatric Nurse Practitioner
  • Ft Wright, KY
  • NPI 1679270128
  NPD
• Pediatric Partners of Northern Kentucky

  • Pediatrics Physician
  • Ft Wright, KY
  • NPI 1336209865
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1194352575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 HIGHLAND PIKE STE 1",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410178127",
            "telephone_number": "859-331-4005",
            "fax_number": "859-331-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 HIGHLAND PIKE STE 1",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410178127",
            "telephone_number": "859-331-4005",
            "fax_number": "859-331-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "PRISCILLA",
        "middle_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "58015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin L. Siegrist, COTA
• Benjamin Paul Smith, M.D.
• Karen Smith, PHARMD
• Monica K Sullivan, MD
• Rebecca L Tackett, ARNP
• Kristen Frommeyer Thompson, DMD
• Michael D Vennemeyer, MD
• Wal-Mart Stores East, LP
• Walgreen Co
• Craig Louis Walsh, DMD MS

• Pediatrics Physician in Ft Wright, KY
• Providers in Ft Wright, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.