Gordon G Wang, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

39750 Issued in TN

Practice address

2010 Church St Ste 420
Nashville, TN 37203-2037

Phone

(615) 329-2141

Fax

(615) 321-0522

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Pathology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Gastroenterology and HepatologyGroup PAC ID 7911223573, 3 clinicians

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcgwang@yourcarecommunity.org

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.

• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment Care Compare group NPD
• Nashville Gastroenterology & Hepatology

  • Specialist
  • Nashville, TN
  • NPI 1598153520
  Medicare reassignment Care Compare group NPD
• Heritage Medical Associates PC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1548284060

  Family Medicine

  Medicare reassignment NPD
• Advanced Diagnostic Imaging PC

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Heritage Medical Associates PC

  • Clinical Medical Laboratory
  • Nashville, TN
  • NPI 1720042021
  NPD
• Nashville Gastroenterology and Hepatology

  • Endoscopy Clinic/Center
  • Nashville, TN
  • NPI 1790811222
  NPD
• Gastroenterology Center of the Midsouth PLLC

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972525194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE LL50",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052382",
            "telephone_number": "615-386-2361",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHURCH ST STE 420",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032037",
            "telephone_number": "615-329-2141",
            "fax_number": "615-321-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11505 Palmbrush Trl",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342022915",
            "country_code": "US",
            "telephone_number": "941-757-4800",
            "fax_number": "941-757-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "GORDON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "P1245",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME92311",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "39750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME92311",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018779",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Elizabeth Wand, DPM, MBA
• Jonathan Wanderer, MD
• Kelly Waner
• Wang Vision Institute, PLLC
• Chunyan Wang, MS
• Huiying Wang, M.D.
• Jason Wang, MD
• Joseph Xiaoqing Wang, MD
• Jun Wang, AGPCNP-BC
• Kenny Wang, DO

• Anatomic Pathology & Clinical Pathology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.