Jeff J Wang DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L0681 Issued in TX

Legal business name

JEFF J WANG DO PA

Practice address

12121 Richmond Ave
Suite 321
Houston, TX 77082-2437

Phone

(281) 920-3232

Fax

(281) 920-3558

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Wang, DONPI 1235121625

Title

Physician

Phone

(281) 920-3232

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jeff J Wang, DO

  • Family Medicine Physician
  • Houston, TX
  • NPI 1235121625

  Family Medicine, TX

  Medicare reassignment NPD Authorized official
• Sabrina S Chen, DO

  • Family Medicine Physician
  • Houston, TX
  • NPI 1548751241

  Family Medicine, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1245406263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE 321",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822437",
            "telephone_number": "281-920-3232",
            "fax_number": "281-920-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE 321",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822437",
            "telephone_number": "281-920-3232",
            "fax_number": "281-920-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF J WANG DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-920-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178437301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Jeemon, MD
• Jeerl Beahvioral Health Services
• Jerome Anand Jeevarajan, MD
• Aamir Jeewa, MD
• Jeff Allen Jr DDS Inc
• Jeff Tollett DDS PA
• Meselle Genevieve Jeff-Eke
• Ossenia Jeff, LCSW
• Shelia Jeffcoat, MD
• Hayden Jefferies, DO

• All providers in Houston, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.