Guofang Wang, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD437798 Issued in PA

Practice address

175 E Chester Pike
Ridley Park, PA 19078-2212

Phone

(610) 595-6586

Fax

(610) 595-6787

NPI assigned

May 14, 2008

Last updated

Jul 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Everest Urgent CareGroup PAC ID 0345549267, 10 clinicians

Everest Medical Care LLCGroup PAC ID 1658382908, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: guofang@euc-pa.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Everest Medical Care LLC

  • Clinic/Center
  • Havertown, PA
  • NPI 1104878339
  Medicare reassignment Care Compare group NPD
• Everest Urgent Care

  • Urgent Care Clinic/Center
  • Upper Darby, PA
  • NPI 1497113666
  Medicare reassignment Care Compare group NPD
• Everest Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Glen Mills, PA
  • NPI 1346691342
  NPD Authorized official
• Everest Rehabilitation Services LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Millbourne, PA
  • NPI 1386094027
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1326215690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-497-7548",
            "fax_number": "610-497-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782212",
            "telephone_number": "610-595-6586",
            "fax_number": "610-595-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GUOFANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116019620",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD437798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Hospice Holdings, LLC (Asana Hospice and Palliative Care)
• Taylor Hospital (Han House Physicians)
• Jose G Tiongson Jr., MD
• Kimberly Rose Van Buren, MS CCC-SLP
• Julia Elizabeth Walsh, MS, OTR
• Ryan Patrick Wantz, A.T.C
• Jennifer Lynne Weber, R.D
• G Delia Wilcher, M.D.
• Brian S Wojciechowski, MD
• Rediet Solomon Yemane, RDN

• Hospitalist Physician in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Hospitalist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.