Antietam Oncology & Hematology Group, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

ANTIETAM ONCOLOGY & HEMATOLOGY GROUP, PC

Practice address

1185 Imperial Dr Ste 103
Hagerstown, MD 21740-6670

Phone

(301) 797-8279

Fax

(301) 797-8504

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yong Tang, M.D.NPI 1093913527

Title

Ceo

Phone

(301) 797-8279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yong Tang, M.D.

  • Hematology & Oncology Physician
  • Hagerstown, MD
  • NPI 1093913527
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1205878980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 IMPERIAL DR STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406670",
            "telephone_number": "301-797-8279",
            "fax_number": "301-797-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 IMPERIAL DR STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406670",
            "telephone_number": "301-797-8279",
            "fax_number": "301-797-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIETAM ONCOLOGY & HEMATOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-797-8279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Antietam Neurology Center, PA
• Antietam Orthodontics
• Antietam Pediatric and Adolescent Care, LLC
• Antietam Periodontics PA DRS. Fred & Rebecca Bye
• Antietam Surgeons Charles R Chaney MD PA
• Antietam Urosurgical Center LLC ASC

• Hematology & Oncology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.