Individual provider Active NPI

Constance Wang, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1386706026
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00028397 Issued in WA
Practice address
1001 4TH Ave
Ste 420
Seattle, WA 98154-1119
Phone
(206) 320-3351
Fax
(206) 554-7787
NPI assigned
Dec 15, 2006
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00028397 WA Primary

Addresses

Primary practice location

1001 4TH Ave
Ste 420
Seattle, WA 98154-1119

Mailing address

PO Box 84026
Seattle, WA 98124-8426
Phone (206) 320-3351

Other practice location 1

800 5th Ave Ste P100
Seattle, WA 98104-3176
Phone (206) 320-3351

Other identifiers 2

IdentifierTypeStateIssuer
1069145MedicaidWA
0126353OtherWALABOR AND INDUSTRIES

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwang1037416@wm.providencedirect.org Direct
Direct Messaging Address cwang1037416@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20100319000578 WA Practitioner - Internal Medicine 9537294228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364

2600 Compass Rd
Glenview, IL 60026-8001

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

800 5TH Ave
Suite P100
Seattle, WA 98104-3176
Phone (206) 320-3351

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00028397WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Apr 1, 1999 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Aug 17, 2019 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Apr 1, 1999 Accepting new patients
Proliance Surgeons Inc PS Past Accepting new patients

Locations

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
Ste 600
Seattle, WA 98104

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1386706026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84026",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248426",
            "telephone_number": "206-320-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 4TH AVE",
            "address_2": "STE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981541119",
            "telephone_number": "206-320-3351",
            "fax_number": "206-554-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 5th Ave Ste P100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043176",
            "country_code": "US",
            "telephone_number": "206-320-3351",
            "fax_number": "206-554-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CONSTANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00028397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069145",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0126353",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwang1037416@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 4th Ave",
            "address_2": "Ste 420",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981541119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwang1037416@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 5th Ave Ste P100",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.