DENNIS OLIVER WANG MD NPI 1558472167

NPI Information

NPI: 1558472167
Provider Name: DENNIS OLIVER WANG, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

Dennis Oliver Wang, MD is a diagnostic radiology radiology in Tacoma, WA with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Dennis Oliver Wang, MD NPI is 1558472167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402-911
Phone: (253) 761-4200
Fax: (253) 383-3553

The NPI 1558472167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	MD00045531	WASHINGTON	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	MD00045531	WASHINGTON	No
3	2085R0202X	Radiology	Diagnostic Radiology	MD00045531	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0252008	OTHER	WASHINGTON	LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
2	G8882797	OTHER	WASHINGTON	PTAN-TRA PIERCE CO
3	0252024	OTHER	WASHINGTON	LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
4	G8882798	OTHER	WASHINGTON	PTAN-TRA KING CO
5	G8882799	OTHER	WASHINGTON	PTAN-UAOM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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