Nikki D Tang (NPI# 1740574169, PAC ID# 1153609011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1740574169 |
| PAC ID by PECOS | 1153609011 |
| Professional Enrollment ID | I20190820003255 |
| Full Name | Nikki D Tang |
| Organization Legal Name | CLINIC FOR DERMATOLOGY AND WELLNESS LLC |
| Address |
2924 Siskiyou Blvd Suite 200 Medford OR 97504-6462 |
| Phone Number | 5419411007 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5890083729 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2307 Bellmore Ave, Bellmore, NY 11710-5651 | 5167845858 | ADVANCED DERMATOLOGY PC |
| 449 N State Rd, Suite 203, Briarcliff, NY 10510-1478 | 9144888188 | ADVANCED DERMATOLOGY PC |
| 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 | 5419411007 | CLINIC FOR DERMATOLOGY AND WELLNESS LLC |
| 510 Montauk Hwy, West Islip, NY 11795-4422 | 6315871132 | ADVANCED DERMATOLOGY PC |
| Organization Legal Name | CLINIC FOR DERMATOLOGY AND WELLNESS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Theodore Wright | Dermatology | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Jessica Babbitt Hulcy | Nurse Practitioner | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Joseph Rocco Gatti | Physician Assistant | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Elena Tovkan Forster | Physician Assistant | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Street Address |
2924 SISKIYOU BLVD SUITE 200 |
| City | MEDFORD |
| State | OR |
| Zip | 97504-6462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Theodore Wright | Dermatology | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Kelly M Schneider | Physician Assistant | Redding Dermatology Medical Group, Inc. | 2924 Siskiyou Blvd, Suite 100, Medford, OR 97504-8194 |
| Jessica Babbitt Hulcy | Nurse Practitioner | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Joseph Rocco Gatti | Physician Assistant | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Elena Tovkan Forster | Physician Assistant | Clinic for Dermatology and Wellness LLC | 2924 Siskiyou Blvd, Suite 200, Medford, OR 97504-6462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | DERMATOLOGY |
| City + Specialty | MEDFORD + DERMATOLOGY |
Please comment or provide details below to improve the information on Nikki D Tang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.