Wing Cardiology and Health LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME97585 Issued in FL

Legal business name

WING CARDIOLOGY AND HEALTH LLC

Practice address

161 N Causeway Ste C
New Smyrna Beach, FL 32169-5300

Phone

(386) 424-8440

NPI assigned

Mar 6, 2013

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wing Yi Liu, MDNPI 1609907948

Title

MGR

Phone

(386) 424-8440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71377

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wing Yi Liu, M.D.

  • Cardiovascular Disease Physician
  • New Smyrna Beach, FL
  • NPI 1609907948
  Medicare reassignment Care Compare group NPD Authorized official
• Niloufar Wilson, MD

  • Cardiovascular Disease Physician
  • New Smyrna Beach, FL
  • NPI 1518070119
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1043551690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY STE C",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695300",
            "telephone_number": "386-424-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY STE C",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695300",
            "telephone_number": "386-424-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WING CARDIOLOGY AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "WING YI",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "386-424-8440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME97585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000887600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Williams, M.D.
• Wesley Williams, DC
• Justin Wayne Willis, DC
• Niloufar Wilson, MD
• Tara Beth Wilson, M.D.
• Shelby Robert Wise, DO
• Denise Wisely, DO
• Denise Wofford, M.S. CCC-SLP
• Joanne Georgiana Woods, RN
• Katelyn Lee Woods, DC

• Cardiovascular Disease Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.