Active NPI
Constance Wang, MD
- Internal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00028397
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1069145 | Medicaid | WA | |
| 0126353 | Other | WA | LABOR AND INDUSTRIES |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Select Outpatient Services Inc
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028397 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Internal Medicine | Current | Accepting new patients |
| Swedish Health Services | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
-
dba Proliance Center for Specialty Surgery
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1326094491
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.