Active NPI
Mark J. Liang, M.D.
- Radiation Oncology Physician
- Charlotte, NC
National Provider Identifier
1790754158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 27704
- Practice address
- 8800 N Tryon St
Charlotte, NC 28262-3300 - Phone
- (704) 547-8762
- Fax
- (704) 547-1632
- NPI assigned
- Mar 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 27704 | NC | Primary |
| Radiation Oncology Physician | 2085R0001X | 14115 | SC |
Addresses
Primary practice location
8800 N Tryon St
Charlotte, NC 28262-3300
Mailing address
200 Queens Rd
Suite 400
Charlotte, NC 28204-3252
Phone (704) 333-7376
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2086561 | Other | NC | UNITED HEALTHCARE |
| 1639267010 | Other | NC | CIGNA |
| 26025 | Other | NC | PARTNERS |
| 8951909 | Medicaid | NC | |
| 51909 | Other | NC | BLUE CROSS |
| 62134 | Other | NC | MEDCOST |
| N27704 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27704 | NC | MD | Radiation Oncology Physician |
| 14115 | SC | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1790754158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 QUEENS RD",
"address_2": "SUITE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043252",
"telephone_number": "704-333-7376",
"fax_number": "704-333-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623300",
"telephone_number": "704-547-8762",
"fax_number": "704-547-1632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "MARK",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "27704",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "14115",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2086561",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1639267010",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "26025",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951909",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51909",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "62134",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N27704",
"state": "SC"
}
],
"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 Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.