Individual provider Active NPI

Catherine Wang, MD

  • Family Medicine Physician
  • Tamaqua, PA
National Provider Identifier
1205412772
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT227930 Issued in PA
Practice address
34 S Railroad St
Tamaqua, PA 18252-1927
Phone
(570) 645-1950
Fax
(570) 645-1955
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT227930 PA Primary

Addresses

Primary practice location

34 S Railroad St
Tamaqua, PA 18252-1927

Mailing address

34 S Railroad St
Tamaqua, PA 18252-1927
Phone (570) 645-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525003407 PA Order and Referring Only - Family PracticePractitioner - Family Practice 8325404817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT227930PAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: cwang303301@direct-sluhn.org

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1205412772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521927",
            "telephone_number": "570-645-1950",
            "fax_number": "570-645-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521927",
            "telephone_number": "570-645-1950",
            "fax_number": "570-645-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT227930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

Verify at the official NPI Registry.