Individual provider Active NPI

Tao Wang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spartanburg, SC
National Provider Identifier
1861655508
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
52143 Issued in SC
Practice address
101 E Wood St
Spartanburg, SC 29303-3040
Phone
(704) 973-5500
Fax
(214) 648-4070
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2018-00980 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X P5492 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 52143 SC Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A130104 CA

Addresses

Primary practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

PO Box 96782
Charlotte, NC 28296-6782
Phone (704) 973-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180612001697 SC Practitioner - Pathology 9638319007 Reassigns benefits to 1 organization
I20230905002960 NC Practitioner - Pathology 9638319007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Pathology Group PAGroup PAC ID 3375529985, 50 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6212

201 E Grover St
Shelby, NC 28150-3917
Phone (704) 973-5500

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130104CAMDAnatomic Pathology & Clinical Pathology Physician
52143SCMDAnatomic Pathology & Clinical Pathology Physician
P5492TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pathology Group, PA CurrentSince Jun 19, 2018 Accepting new patients
Carolinas Pathology Group, PA Anatomic Pathology & Clinical Pathology CurrentSince Nov 24, 2024 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

5040 Airport Center Pkwy
Charlotte, NC 28208
Phone (704) 446-4490

6135 Lakeview Rd
Ste 350
Charlotte, NC 28269
Phone (704) 549-8444

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

1530 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1544

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

389 Serpentine Dr
Spartanburg, SC 29303
Phone (864) 560-3263

1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1201 Furman L Fendley Hwy
Union, SC 29379
Phone (864) 301-2000

Interoperability endpoints

  • Direct secure messaging: twang1175379@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1861655508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96782",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966782",
            "telephone_number": "704-973-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "704-973-5500",
            "fax_number": "214-648-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2018-00980",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "P5492",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "52143",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A130104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.