Active NPI
Fikre S. Wang MD LLC
- Surgery Physician
- New Orleans, LA
National Provider Identifier
1316133903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.200720
- Legal business name
- FIKRE S. WANG MD LLC
- Practice address
- 3600 Prytania St
Suite 65
New Orleans, LA 70115-3628 - Phone
- (504) 899-4744
- Fax
- (504) 899-4745
- NPI assigned
- Sep 18, 2007
- Last updated
- Jul 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fikre S Wang, M.D.
- Title
- Director
- Phone
- (504) 899-4744
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.200720 | LA | Primary |
Addresses
Primary practice location
3600 Prytania St
Suite 65
New Orleans, LA 70115-3628
Mailing address
1302 Marengo St
Unit a
New Orleans, LA 70115-3813
Phone (504) 899-4744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3600 Prytania St
Ste 71
New Orleans, LA 70115
Phone (504) 269-3900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- New Orleans, LA
- NPI 1265448617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280361600000",
"number": "1316133903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 MARENGO ST",
"address_2": "UNIT A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153813",
"telephone_number": "504-899-4744",
"fax_number": "504-899-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 PRYTANIA ST",
"address_2": "SUITE 65",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153628",
"telephone_number": "504-899-4744",
"fax_number": "504-899-4745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIKRE S. WANG MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2010-07-29",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "FIKRE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "504-899-4744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.200720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.