Active NPI
Donghua Wang, PA-C
- Surgical Physician Assistant
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C0003823
- Practice address
- 510 Upper Chesapeake Dr
Suite 417
Bel Air, MD 21014-4328 - Phone
- (443) 643-3130
- Fax
- (443) 643-3133
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C0003823 | MD | Primary |
Addresses
Primary practice location
510 Upper Chesapeake Dr
Suite 417
Bel Air, MD 21014-4328
Mailing address
9830 Kraft Hill Rd
Perry Hall, MD 21128-9305
Phone (443) 762-9262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100310000184 | MD | Practitioner - Physician Assistant | 2264581693 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper Chesapeake Orthopedics, LLC
Practice addresses (Care Compare)
510 Upper Chesapeake Dr
Suite 417
Bel Air, MD 21014-4336
Phone (443) 643-3130
Hospital & facility affiliations
- Umd Upper Chesapeake Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003823 | MD | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Orthopedics, LLC | Current | Accepting new patients | |
| Upper Chesapeake Surgical Associates, LLC | Past | Accepting new patients |
Locations
650 McHenry Rd
Ste 1200
Aberdeen, MD 21001
Phone (443) 643-3130
510 Upper Chesapeake Dr
Ste 417
Bel Air, MD 21014
Phone (443) 643-3130
515 S Tollgate Rd
Ste 200
Bel Air, MD 21014
Phone (443) 643-3130
515 S Tollgate Rd
Ste 100
Bel Air, MD 21014
Phone (443) 643-3050
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Aberdeen, MD
- NPI 1679443964
-
- Durable Medical Equipment & Medical Supplies
- Bel Air, MD
- NPI 1497625784
-
- Surgery Physician
- Bel Air, MD
- NPI 1629175997
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1104065473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9830 KRAFT HILL RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289305",
"telephone_number": "443-762-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 UPPER CHESAPEAKE DR",
"address_2": "SUITE 417",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144328",
"telephone_number": "443-643-3130",
"fax_number": "443-643-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "DONGHUA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-11",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C0003823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.