NPIMap

Individual provider Active NPI

Haibin Wang, MD, PHD

  • Pain Medicine Physician
  • Meadville, PA
National Provider Identifier
1013112184
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD4424444 Issued in PA
Practice address
1015 Grove St
Meadville, PA 16335-2905
Phone
(814) 337-5894
Fax
(814) 337-7082
NPI assigned
Jun 19, 2007
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD4424444 PA
Anesthesiology Physician 207L00000X 094866 OH
Anesthesiology Physician 207L00000X L-228109 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 01075062A IN
Pain Medicine Physician 208VP0000X MD4424444 PA Primary

Addresses

Primary practice location

1015 Grove St
Meadville, PA 16335-2905

Mailing address

1275 S Main St Ste 103
Greensburg, PA 15601-5385
Phone (412) 407-3654

Other identifiers 1

IdentifierTypeStateIssuer
201279990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110708000033 PA Practitioner - AnesthesiologyPractitioner - Pain Management 5092996801 Reassigns benefits to 4 organizations
I20150501001178 IN Practitioner - Anesthesiology 5092996801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1015 Grove St
Meadville, PA 16335-2905
Phone (814) 337-5894

1034 Grove St
Meadville, PA 16335-2945

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
L-228109MAMDAnesthesiology Physician
094866OHMDAnesthesiology Physician
MD4424444PAMDAnesthesiology Physician
01075062AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Anesthesiology CurrentSince Mar 3, 2015 Accepting new patients
Meadville Medical Center Pain Medicine CurrentSince Dec 15, 2018 Accepting new patients
Titusville Area Hospital CurrentSince Dec 15, 2018 Accepting new patients
Titusville Area Hospital CurrentSince Dec 15, 2018 Accepting new patients
Meadville Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Titusville Area Hospital CurrentSince Jan 6, 2021 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Pain Management Clinic Past Accepting new patients
Windber Hospital, Inc. Anesthesiology Past Accepting new patients
Pcma Cardiology PLLC PastSince May 1, 2020 Accepting new patients
Titusville Area Hospital Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

5501 W Bethel Ave
Muncie, IN 47304
Phone (765) 741-2957

1015 Grove St
Meadville, PA 16335
Phone (814) 337-5894

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: haibin.wang@directaddress.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1013112184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S MAIN ST STE 103",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015385",
            "telephone_number": "412-407-3654",
            "fax_number": "412-235-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352905",
            "telephone_number": "814-337-5894",
            "fax_number": "814-337-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HAIBIN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD4424444",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "094866",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "L-228109",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01075062A",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD4424444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201279990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.