Individual provider Active NPI

Suhua Wang

  • Acupuncturist
  • Potomac, MD
National Provider Identifier
1336802768
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02795 Issued in MD
Practice address
8529 Bells Ridge Ter
Potomac, MD 20854-2799
Phone
(240) 306-8362
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02795 MD Primary

Addresses

Primary practice location

8529 Bells Ridge Ter
Potomac, MD 20854-2799

Mailing address

8529 Bells Ridge Ter
Potomac, MD 20854-2799
Phone (240) 306-8362

Other identifiers 1

IdentifierTypeStateIssuer
U02795MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Potomac

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U02795MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1336802768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 BELLS RIDGE TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542799",
            "telephone_number": "240-306-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 BELLS RIDGE TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542799",
            "telephone_number": "240-306-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SUHUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U02795",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Potomac",
            "affiliation": "N",
            "address_1": "8529 Bells Ridge Ter",
            "city": "Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208542799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.