Active NPI
Matthew C. Wang, M.D.
- Anesthesiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2013-02492
- Practice address
- 200 Providence Rd
Suite 101
Charlotte, NC 28207-1468 - Phone
- (704) 749-5800
- Fax
- (704) 626-3067
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2013-02492 | NC | Primary |
Addresses
Primary practice location
200 Providence Rd
Suite 101
Charlotte, NC 28207-1468
Mailing address
200 Providence Rd
Suite 101
Charlotte, NC 28207-1468
Phone (704) 749-5800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WANG03 | Other | NC | NORTH CAROLINA MEDICAL LICENSE |
| 1730378134 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10030 Gilead Rd
Huntersville, NC 28078-7545
Phone (704) 316-4000
1800 E 4TH St
Charlotte, NC 28204-3210
Phone (704) 384-1300
1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-4000
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
- Novant Health Ballantyne Medical Center
- Novant Health Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-02492 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| Medical Anesthesia Consultants Medical Group, Inc. | Anesthesiology | Past | Accepting new patients |
| Ambulatory Anesthesia of Pinehurst, PA | Anesthesiology | Past | Accepting new patients |
Locations
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
200 Providence Rd
Ste 101
Charlotte, NC 28207
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1659250678
SC
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1306867015
-
- Anesthesiology Physician
- San Ramon, CA
- NPI 1619925047
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1730378134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PROVIDENCE RD",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071468",
"telephone_number": "704-749-5800",
"fax_number": "704-626-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PROVIDENCE RD",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071468",
"telephone_number": "704-749-5800",
"fax_number": "704-626-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "MATTHEW",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2013-02492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAL LICENSE",
"identifier": "WANG03",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730378134",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.