Individual provider Active NPI

Heng Wang, M.D., PH.D.

  • Pediatrics Physician
  • Middlefield, OH
National Provider Identifier
1255588406
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
81033 Issued in OH
Practice address
14567 Madison Rd
Middlefield, OH 44062-9499
Phone
(440) 632-1697
Fax
(440) 632-1697
NPI assigned
Aug 19, 2008
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 81033 OH Primary

Addresses

Primary practice location

14567 Madison Rd
Middlefield, OH 44062-9499

Mailing address

14567 Madison Rd
Middlefield, OH 44062-9499
Phone (440) 632-1668

Other identifiers 1

IdentifierTypeStateIssuer
2323980MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000693 OH Practitioner - Pediatric Medicine 7416998224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81033OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DDC Clinic for Special Needs Children CurrentSince Jan 25, 2012 Accepting new patients

Locations

14567 Madison Rd
Middlefield, OH 44062
Phone (440) 313-5495

Interoperability endpoints

  • Direct secure messaging: hwang37447@ehrdirect.uhhospitals.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1255588406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14567 MADISON RD",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629499",
            "telephone_number": "440-632-1668",
            "fax_number": "440-632-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14567 MADISON RD",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629499",
            "telephone_number": "440-632-1697",
            "fax_number": "440-632-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HENG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "81033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2323980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

Verify at the official NPI Registry.