Individual provider Active NPI

Allen Wang, DPM

  • Podiatrist
  • Essexville, MI
National Provider Identifier
1326434986
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002592 Issued in MI
Practice address
3592 Center Ave Ste 1
Essexville, MI 48732
Phone
(989) 671-9930
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 5901002592 MI Primary
Pharmacist 183500000X 5315072432 MI

Addresses

Primary practice location

3592 Center Ave Ste 1
Essexville, MI 48732

Mailing address

801 Joe Mann Blvd Ste P-6
Midland, MI 48642-8900
Phone (989) 791-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809000197 MI Practitioner - Podiatry 1456609320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen a. Wang, DPM PCGroup PAC ID 0941634885, 2 clinicians

Practice addresses (Care Compare)

3592 Ctr Ave
Suite a
Essexville, MI 48732-1779
Phone (989) 402-7764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.03 of 100Reported as individual
Quality
77.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue79
Removal of skin lesions118
Removal of nail tissue320
Removal or shaving of skin growth142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5315072432MIMDPharmacist
5901002592MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen a. Wang, DPM PC Podiatrist CurrentSince Oct 26, 2019 Accepting new patients

Locations

3592 Center Ave
Essexville, MI 48732
Phone (989) 671-9930

3592 Center Ave
Ste A
Essexville, MI 48732
Phone (989) 402-7764

3592 Center Ave
Ste 1
Essexville, MI 48732
Phone (989) 671-9930

3592 Center Ave
Ste 2
Essexville, MI 48732

204 W Buttles St
Midland, MI 48640

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1326434986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE P-6",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428900",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 CENTER AVE STE 1",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "48732",
            "telephone_number": "989-671-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002592",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315072432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

Verify at the official NPI Registry.