Active NPI
Chloe Wang, M.D.
- Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 139805
- Practice address
- 17 Davis Blvd
Suite 308
Tampa, FL 33606-3475 - Phone
- (813) 259-8510
- NPI assigned
- Apr 20, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 139805 | FL | Primary |
Addresses
Primary practice location
17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Mailing address
17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Phone (813) 250-2506
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwang81821@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14131 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4455
Phone (239) 224-3501
Hospital & facility affiliations
- Tampa General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139805 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Surgery | Current | Accepting new patients |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Past | Accepting new patients |
Locations
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
14131 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 224-3501
409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- cwang81821@direct.tgh.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Transplant Surgery Physician
- Fort Myers, FL
- NPI 1720641574
-
- Family Medicine Physician
- Tampa, FL
- NPI 1164769063
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1952721797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD",
"address_2": "SUITE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063475",
"telephone_number": "813-250-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD",
"address_2": "SUITE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063475",
"telephone_number": "813-259-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CHLOE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-20",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "139805",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwang81821@direct.tgh.org",
"affiliation": "N",
"address_1": "17 Davis Blvd",
"address_2": "Suite 308",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.