Wang Medical Group PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

4414 Issued in AZ

Legal business name

WANG MEDICAL GROUP PC

Doing business as

Paradise Valley Pain Specialists

Practice address

3815 E Bell Rd
Suite 4100
Phoenix, AZ 85032-2122

Phone

(602) 494-5015

Fax

(602) 445-9369

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul D Wang, DO

Title

Physician/Owner

Phone

(602) 494-5015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paradise Valley Pain Specialists Doing business as

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1164610721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE103 PMB 158",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "602-494-5015",
            "fax_number": "602-445-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "SUITE 4100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-494-5015",
            "fax_number": "602-445-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "602-494-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "4414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164610721",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aung-Kyi Wan
• Jonathan Wan, DO
• Ruth Ellen Wanca, PT
• Ryan Wandler, DNP, PMHNP-BC
• Breanna Wandrych, LMSW-T
• Koshya Wang-Murao, MSW
• Alan Wang, M.D.
• Chen Wang, M.D.
• Cong Wang
• Danlu Wang, D.O

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.