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NIKKI DANIELLE YING TANG M.D. NPI 1740574169


NPI Information

NPI: 1740574169
Provider Name: NIKKI DANIELLE YING TANG, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: OCEAN SKIN AND VEIN INSTITUTE

PECOS Registration: Yes

Address:
2924 SISKIYOU BLVD STE 200
MEDFORD, OR
ZIP 97504
Phone: (541) 200-2777
Get Directions

Nikki Danielle Ying Tang, M.D. is a mohs-micrographic surgery dermatology in Medford, OR with 13 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Nikki Danielle Ying Tang, M.D. NPI is 1740574169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:2011

The provider's business location address is:

2924 SISKIYOU BLVD STE 200
MEDFORD, OR
ZIP 97504-462
Phone: (541) 200-2777
Fax: (541) 214-2575

The NPI 1740574169 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 6/2/2011 and was last updated on 1/2/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD195049OREGONNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryMD195049OREGONYes
3207ND0101XDermatologyMOHS-Micrographic Surgery2862881NEW YORKNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500766374MEDICAIDOREGON
2114347600MEDICAIDMARYLAND

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

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.