NPIMap

Organization Active NPI

George Wang,MD,LLC

  • Neurology Physician
  • Mesa, AZ
National Provider Identifier
1184679201
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GEORGE WANG,MD,LLC
Practice address
2919 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2144
Phone
(480) 967-6888
Fax
(480) 967-6887
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. George Wang, M.DNPI 1851342828
Title
President
Phone
(480) 967-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

2919 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2144

Mailing address

2919 S Ellsworth Rd,Suite135
Suite 135
Mesa, AZ 85212
Phone (480) 967-6888

Other names 1

  • NEUROLOGY & SLEEP MEDICINE ASSOC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000242 AZ Part B Supplier - Clinic/Group Practice 6608789755 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Mesa, AZ; Gilbert, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
George Wang MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4001 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 926-6200

4001 E Baseline Rd
Ste 205
Gilbert, AZ 85234
Phone (480) 962-7510

2919 S Ellsworth Rd
Ste 113
Mesa, AZ 85212

2152 S Vineyard
Mesa, AZ 85210
Phone (480) 539-6646

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1184679201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD,SUITE135",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122144",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE WANG,MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-967-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUROLOGY & SLEEP MEDICINE ASSOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.