Active NPI
Mary E Tang, M.D.
- Clinical Cytogenetics Physician
- Burlington, VT
National Provider Identifier
1235158536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cytogenetics Physician
- License
- 042.0008183
- Practice address
- 111 Colchester Ave
Fletcher Allen Health Care, Pathology
Burlington, VT 05401-1473 - Phone
- (802) 847-5121
- Fax
- (802) 847-3987
- NPI assigned
- Jul 18, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 042-0008183 | VT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 042-0008183 | VT | |
| Chemical Pathology Physician | 207ZP0104X | 042-0008183 | VT | |
| Clinical Cytogenetics Physician | 207SC0300X | 042.0008183 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Fletcher Allen Health Care, Pathology
Burlington, VT 05401-1473
Mailing address
111 Colchester Ave
Fahc Pathology Acc-Ep1
Burlington, VT 05401-1473
Phone (802) 847-5121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN0654 | Medicaid | VT | |
| 01413969 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0008183 | VT | MD | Clinical Cytogenetics Physician |
| 042-0008183 | VT | MD | Molecular Genetic Pathology (Pathology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1235158536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "FAHC PATHOLOGY ACC-EP1",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "FLETCHER ALLEN HEALTH CARE, PATHOLOGY",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-5121",
"fax_number": "802-847-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "VT",
"license": "042-0008183",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VT",
"license": "042-0008183",
"primary": false
},
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "VT",
"license": "042-0008183",
"primary": false
},
{
"code": "207SC0300X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Cytogenetics",
"state": "VT",
"license": "042.0008183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN0654",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01413969",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.