Katherine Wang, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Augusta, WI
NPI 1508285164 · NPPES record last updated Apr 10, 2014
Key facts
- NPI
- 1508285164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 207 W Lincoln St
Augusta, WI 54722-9161 - Phone
- (715) 286-2770
- Fax
- (715) 286-5716
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220730000163 | SC | Practitioner - Pathology | 8628474228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
207 W Lincoln St
Augusta, WI 54722-9161
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other providers in Augusta, WI
- Jessica A Stensen
- Tracy Catherine Strom
- The Lakes Community Health Center, Inc
- Kayla Turpin
- University of Wisconsin Medical Foundation
- Jodi Ann Pawlik Weisenbeck
- Donna Jean Weix
All providers in Augusta, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.