Allan Veh Tuc Wang, MD, PHD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

9287 Issued in HI

Practice address

75-166 Kalani St
Suite 204
Kailua Kona, HI 96740-1857

Phone

(808) 329-9264

Fax

(808) 329-9260

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Allan Wang Professional name

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

University of Hawaii John a. Burns School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: allan.wang.1@9210.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9210/brand/1/csg/1/fhir/r4

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

• Allan Wang MD LLC

  • Allergy & Immunology Physician
  • Kailua Kona, HI
  • NPI 1700055217
  Medicare reassignment Authorized official
• Orchid Isle Neurology, LLC

  • Neurology Physician
  • Kamuela, HI
  • NPI 1740354232
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1013911924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-166 KALANI ST",
            "address_2": "SUITE 204",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401857",
            "telephone_number": "808-329-9264",
            "fax_number": "808-329-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-166 KALANI ST",
            "address_2": "SUITE 204",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401857",
            "telephone_number": "808-329-9264",
            "fax_number": "808-329-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ALLAN",
        "middle_name": "VEH TUC",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "HI",
            "license": "9287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07646003",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII BCBS PROVIDER ID",
            "identifier": "D0204000",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA / BCBS HILO OFFICE #",
            "identifier": "C0204002",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA / BCBS HNL OFFICE #",
            "identifier": "E0204007",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA / BCBS KAMUELA #",
            "identifier": "F0204005",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLAN",
            "last_name": "WANG",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wallace R. Shrinski, MFT
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• Walmart Inc.
• Walmart, Inc.
• Tina Walter
• Sophia J Wang, PHD
• Theresa Ihsin Wang, M.D.
• Walter J Wang, MD
• Cristina Maria Ward
• Michael Warnecke, BSN, RN

• Allergy & Immunology Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Allergy & Immunology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.