Deli Wang, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21029 Issued in SC

Practice address

1105 N Lafayette Dr Ste B
Sumter, SC 29150-2913

Phone

(803) 934-8221

Fax

(803) 666-1263

NPI assigned

Dec 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417012196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CHIMNEY HILL RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095425",
            "telephone_number": "803-934-8221",
            "fax_number": "803-666-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N LAFAYETTE DR STE B",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502913",
            "telephone_number": "803-934-8221",
            "fax_number": "803-666-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DELI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "21029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Walker, PH.D.
• Wallace Periodontics, LLC
• Marshall Lynn Wallace, DMD
• Marissa Wallin, PHARMD
• Teresa Walls, LPN
• Sara Wanner, LDO
• Cheryl Renee Ward, MSN, FNP-BC
• Nancy Killian Ward
• Michael T. Warrick
• Kent Tanner Washington, D.D.S.

• General Practice Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.