Katie Xiaoyi Wang, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34.014469 Issued in OH

Practice address

3853 Trueman CT
Hilliard, OH 43026-2496

Phone

(614) 777-1200

Fax

(614) 777-1294

NPI assigned

Mar 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Dermatology

Education

Kansas City University of Physicians and Surgeons, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Signature Dermatology LLCGroup PAC ID 7214086115, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.wang.1@17598.direct.athenahealth.com

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.

• Signature Dermatology LLC

  • Dermatology Physician
  • Hilliard, OH
  • NPI 1679723894
  Medicare reassignment Care Compare group NPD
• Worst Day Ever

  • Colon & Rectal Surgery Physician
  • Westerville, OH
  • NPI 1467865147
  NPD (past)

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1477948305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-1200",
            "fax_number": "614-777-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-1200",
            "fax_number": "614-777-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KATIE",
        "middle_name": "XIAOYI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.014469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Theresa Wagner, M.D.
• Walgreen Co
• Andrea Nicole Wall, PT
• Dana R Walters, D.D.S.
• Lisa Darnell Walton
• Xiao Tian Wang, XIAOTIAN
• Kayona Ward
• Madelyn Ward
• Barbara A Warner
• Kelli Ann Warrens, PMHNP-BC

• Dermatology Physician in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.