Ming R Wang, MD

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

MD446668 Issued in PA

Practice address

243 N Galen Hall Rd
Wernersville, PA 19565-9331

Phone

(610) 743-2332

NPI assigned

May 12, 2006

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

Enrolled in FL, PA2 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

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 and National Provider Directory roles.

• South Mountain Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Sinking Spring, PA
  • NPI 1932374113
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1124079355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 N GALEN HALL RD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659331",
            "telephone_number": "610-743-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 N GALEN HALL RD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659331",
            "telephone_number": "610-743-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MING",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "PA",
            "license": "MD446668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Thompson, M.S.
• Jacqueline Rose Tomasco, PMHNP
• Justin Michael Trice, MA
• Indira Vijayvargiya, M.D.
• Emilia Vitolo-Gallo, M.D.
• Mary Weaver, DPT
• Katie Wenzler, PT
• Wernersville State Hospital Pharmacy
• Jessica Whitney, PMHNP
• Antonella Worley, OTR/L

• Addiction Medicine (Anesthesiology) Physician in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Addiction Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.