JINGCHUAN WANG (NPI# 1003800152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003800152 |
| Entity Type | Individual |
| Full Name | JINGCHUAN WANG |
| Credential | MD |
| Practice Address |
1638 Owen Dr Fayetteville NC 28304 |
| Mailing Address |
5301 Virginia Way Ste 300 Brentwood TN 37027-7542 |
| Practice Telephone | 9106154000 |
| Practice Fax Number | 7032574337 |
| Mailing Telephone | 6152214400 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 200201021 | NC | Other Service Providers |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
200201021 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1638 Owen Dr, Fayetteville, NC 283043424 | 6152214400 |
| Street Address |
1638 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1265032536 | Heidi Ellen Jumbercotta | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-27 |
| 1346848306 | Jessica Hooten | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-13 |
| 1881200665 | Kathleen Macalalag | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-09-17 |
| 1790395523 | Anna Caitlyn Felmer | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-06 |
| 1427668359 | Benjamin Josiah Tutterow | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1063022994 | George Thomas Sessoms IIi | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1437769759 | Teresa Cooper Jones | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-01 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1194333237 | Alyssa Worley | Occupational Therapy Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306819263 | Northwest Arkansas Pathology Associates Pa | Pathology | 390 E. Longview, Fayetteville, AR 72703-1086 | 2006-02-10 |
| 1023081171 | Bradley Dilday | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
| 1821259862 | Steven Cordero | Pathology | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2008-06-23 |
| 1851593990 | Lucas Kyle Campbell | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2007-06-01 |
| 1093836066 | Gregory Mckenzie | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2007-04-03 |
| 1417034984 | Kevin Drake Branch | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-11-01 |
| 1073693081 | Xiao-lan Chen | Pathology | 1638 Owen Dr, Fayetteville, NC 28304 | 2006-10-16 |
| 1235150749 | Robert Morris Levy | Pathology | 1100 N College Ave, P&lms (113), Fayetteville, AR 72703-1944 | 2006-07-21 |
| 1295793594 | Fayetteville Associates In Laboratory Medicine | Pathology | 1638 Owen Dr, Fayetteville, NC 28304 | 2006-05-03 |
| 1639135932 | Ruly Yoediono | Pathology | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-04-25 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.