Active NPI
Jeffrey Wang, AUD
- Audiologist
- Mount Pleasant, WI
National Provider Identifier
1316490386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 624
- Practice address
- 3811 Spring St # 303
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-8210
- Fax
- (262) 687-8205
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 624-156 | WI | |
| Audiologist | 231H00000X | 624 | WI | Primary |
Addresses
Primary practice location
3811 Spring St # 303
Mount Pleasant, WI 53405-1667
Mailing address
3811 Spring St # 303
Mount Pleasant, WI 53405-1667
Phone (262) 687-8210
Other practice location 1
2505 N Mayfair Rd
Milwaukee, WI 53226-1404
Phone (414) 475-5809
Other practice location 2
8217 S 27th St
Franklin, WI 53132-9310
Phone (414) 761-2700
Other practice location 3
7820 S Howell Ave
Oak Creek, WI 53154-2156
Phone (414) 764-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 624 | WI | MD | Audiologist |
| 624-156 | WI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Center, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1316490386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 SPRING ST # 303",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8210",
"fax_number": "262-687-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 SPRING ST # 303",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8210",
"fax_number": "262-687-8205"
}
],
"practiceLocations": [
{
"address_1": "2505 N Mayfair Rd",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532261404",
"country_code": "US",
"telephone_number": "414-475-5809",
"fax_number": "414-258-9429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8217 S 27th St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "WI",
"postal_code": "531329310",
"country_code": "US",
"telephone_number": "414-761-2700",
"fax_number": "414-761-2711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7820 S Howell Ave",
"address_purpose": "LOCATION",
"city": "Oak Creek",
"state": "WI",
"postal_code": "531542156",
"country_code": "US",
"telephone_number": "414-764-8888",
"fax_number": "414-764-8886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "JEFFREY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "624-156",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.