Individual provider Active NPI

Wendy Gao, MD

  • Radiation Oncology Physician
  • Tacoma, WA
National Provider Identifier
1477852218
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD60402806 Issued in WA
Practice address
314 Martin Luther King Jr Way
Suite 11
Tacoma, WA 98405
Phone
(253) 627-6172
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD60402806 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

314 Martin Luther King Jr Way
Suite 11
Tacoma, WA 98405

Mailing address

314 M.L.K. Jr Way
Suite 11
Tacoma, WA 98405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150818004771 WA Practitioner - Radiation Oncology 3577880079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tacoma Radiation Oncology Center Inc, PSGroup PAC ID 1658260302, 6 clinicians
Peninsula Rad Onc Ctr LLCGroup PAC ID 6204990450, 5 clinicians

Practice addresses (Care Compare)

11511 Canterwood Blvd
Suite 50
Gig Harbor, WA 98332-5816
Phone (253) 779-6325

1708 Yakima Ave
Suite 115
Tacoma, WA 98405-5300
Phone (253) 363-8780

1802 Yakima Ave
Suite 103
Tacoma, WA 98405-5303
Phone (253) 272-1077

400 15TH Ave SE
Suite a
Puyallup, WA 98372-3750
Phone (253) 841-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60402806WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Rad Onc Ctr LLC Radiation Oncology CurrentSince Sep 1, 2015 Accepting new patients

Locations

11511 Canterwood Blvd
Ste 50
Gig Harbor, WA 98332
Phone (253) 530-2939

314 Martin Luther King Jr Way
Ste 11
Tacoma, WA 98405
Phone (253) 627-6172

4230 Bridgeport Way W
Ste B
University Place, WA 98466
Phone (253) 272-1077

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1477852218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 M.L.K. JR WAY",
            "address_2": "SUITE 11",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MARTIN LUTHER KING JR WAY",
            "address_2": "SUITE 11",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-627-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD60402806",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.