Changming Wang

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AS810402575 Issued in MI

Practice address

2139 Georgetown Blvd
Ann Arbor, MI 48105-1534

Phone

(248) 404-7950

NPI assigned

May 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1275155103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 FIRESIDE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986551",
            "telephone_number": "248-404-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 GEORGETOWN BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051534",
            "telephone_number": "248-404-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHANGMING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS810402575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Hsin-Cheng Wan, MD
• Brett Leon Wanamaker, M.D.
• Robert John Wancha Jr., M.A.
• Helena Hai-Ling Wang-Flores, DO
• Bonnie Ren Shaw Wang, MD
• Chien-Wei Wang, MD
• Chin-Wei Wang, DDS, DMSC
• Christine Siqi Wang, MD
• Courtney Johnston Wang, OTR/L
• David Wang, MD

• Assisted Living Facility in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.