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CHARLIE WEICHIN FANG MD NPI 1609962521


NPI Information

NPI: 1609962521
Provider Name: CHARLIE WEICHIN FANG, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13851 HIGHWAY 28
WHITWELL, TN
ZIP 37397
Phone: (423) 653-9210
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Charlie Weichin Fang, MD is a family medicine in Whitwell, TN with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Charlie Weichin Fang, MD NPI is 1609962521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

13851 HIGHWAY 28
WHITWELL, TN
ZIP 37397-373
Phone: (423) 653-9210

The NPI 1609962521 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 10/5/2006 and was last updated on 12/7/2023.


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
1207P00000XEmergency Medicine055513GEORGIANo
2207P00000XEmergency Medicine0101251958VIRGINIANo
3207P00000XEmergency Medicine38728TENNESSEENo
4207Q00000XFamily Medicine38728TENNESSEEYes

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
13898281MEDICAIDTENNESSEE
2P00288351OTHERGEORGIARAILROAD
34087933OTHERTENNESSEEBCBSTN
4P00231542OTHERTENNESSEERAILROAD
5331010801AMEDICAIDGEORGIA
664088644MEDICAIDKENTUCKY

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.