Sidney W Wang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4-15639 Issued in KS

Practice address

7315 E Frontage Rd
Suite 115
Overland Park, KS 66204-1654

Phone

(913) 722-2020

Fax

(913) 722-4330

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  NPD (past)
• Shawnee Mission Medical Center, Inc.

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1942317854

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316977168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD",
            "address_2": "SUITE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-722-2020",
            "fax_number": "913-722-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD",
            "address_2": "SUITE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-722-2020",
            "fax_number": "913-722-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SIDNEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "4-15639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stephen Walton, M.D.
• Nicole M Walton, APRN
• Nicole Marie Wampler, RD
• John KP Wang, D.D.S.
• Shirley Y Wang, M.D.
• Yaqiong Wang, PT, DPT
• Valentine Wangombe
• Barbara Warady
• Ward Periodontics, LLC
• Audra Sue Ward, D.M.D

• Family Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.