Individual provider Active NPI

Lin-Wang Dong, MD

  • Cardiovascular Disease Physician
  • Greeley, CO
National Provider Identifier
1114064490
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44502 Issued in CO
Practice address
1800 15TH St
Suite 310
Greeley, CO 80631-4500
Phone
(970) 392-0900
Fax
(970) 506-3796
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44502 CO Primary

Addresses

Primary practice location

1800 15TH St
Suite 310
Greeley, CO 80631-4500

Mailing address

1800 15TH St
Suite 310
Greeley, CO 80631-4500
Phone (970) 392-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080822000075 CO Practitioner - Cardiovascular Disease (Cardiology) 9638244882 Reassigns benefits to 1 organization
I20161111001906 WY Practitioner - Cardiovascular Disease (Cardiology) 9638244882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians

Practice addresses (Care Compare)

1001 E Johnson St
Holyoke, CO 80734-1854
Phone (970) 854-2241

1017 W 7TH St
Banner Health Clinic
Wray, CO 80758-1420
Phone (970) 332-2225

1800 15TH St
Greeley, CO 80631-4562

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

1900 Boise Ave
Loveland, CO 80538-5004

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • East Morgan County Hospital Hospital, Brush, CO, CCN 061303
  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
  • Banner Fort Collins Medical Center Hospital, Fort Collins, CO, CCN 060126
  • Banner North Co Medical Center - Loveland Campus Hospital, Loveland, CO, CCN 060030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44502COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Community Hospital CurrentSince May 27, 2017 Accepting new patients
Community Hospital CurrentSince May 27, 2017 Accepting new patients
Community Hospital Cardiovascular Disease Current Accepting new patients
Banner Health Physicians West LLC CurrentSince Oct 4, 2016 Accepting new patients
Banner Health Physicians West LLC CurrentSince Oct 4, 2016 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

2400 Edison St
Ste 102
Brush, CO 80723
Phone (970) 842-6200

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1800 15th St
Ste 220
Greeley, CO 80631
Phone (970) 353-1335

1800 15th St
Ste 310
Greeley, CO 80631
Phone (970) 392-0900

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1800 15th St
Ste 340
Greeley, CO 80631
Phone (970) 351-6044

1900 Boise Ave
Ste 200
Loveland, CO 80538
Phone (970) 203-2120

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 8

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1114064490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 15TH ST",
            "address_2": "SUITE 310",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314500",
            "telephone_number": "970-392-0900",
            "fax_number": "970-506-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 15TH ST",
            "address_2": "SUITE 310",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314500",
            "telephone_number": "970-392-0900",
            "fax_number": "970-506-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "LIN-WANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "44502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.