Timothy Wang, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036047139 Issued in IL

Practice address

2000 Larkin Ave
#100
Elgin, IL 60123-5879

Phone

(847) 888-2320

Fax

(847) 888-2591

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Valley Medical & Cardiac Clinic, LTD.

  dba Valley Medical & Cardiac Clinic

  • Specialist
  • Elgin, IL
  • NPI 1477575504
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063428290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE",
            "address_2": "#100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235879",
            "telephone_number": "847-888-2320",
            "fax_number": "847-888-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE",
            "address_2": "#100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235879",
            "telephone_number": "847-888-2320",
            "fax_number": "847-888-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036047139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047139",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Walsh, ANP-C
• Walter a. Alm, D.P.M., P.C.
• Melody Joy Walters, LPN
• Ailee Wang, M.D.
• Edwin Wang, MD
• Wang's Harmony Acupuncture PLLC
• Cassandra Waramit, AGNP-BC
• Laurie Nguyen Ward, PA-C
• Shay Lynn Ward, APN
• Susan Elizabeth Ward

• Cardiovascular Disease Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.