Jason Wang, M.D.

Key facts

NPI

1396130571

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

S3608 (TX)

Practice address

801 Wyoming Ave
El Paso, TX 79902-5329

Phone

(915) 302-3030

Fax

(915) 302-9966

NPI assigned

Apr 3, 2015

Sex

Male

Sole proprietor

Yes

Organizations & group practices 28

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.

• Desert Pediatrics, LLC Pediatrics Physician · El Paso, TX · NPI 1053951665
  Medicare reassignment Authorized official TX
• Covenant Medical Group Family Medicine Physician · Lubbock, TX · NPI 1376598904
  Medicare reassignment NPD NM · PEDIATRICS
• Banner Hospital Based Physicians Arizona LLC Multi-Specialty Clinic/Center · San Tan Valley, AZ · NPI 1275889891
  Medicare reassignment NPD AZ
• Deming Hospital Corporation Rural Health Clinic/Center · Deming, NM · NPI 1134526221
  Medicare reassignment NPD NM
• HRMC, LLC Hematology & Oncology Physician · Lake Havasu City, AZ · NPI 1003139387
  Medicare reassignment NPD AZ
• Otero County Hospital Association General Acute Care Hospital · Alamogordo, NM · NPI 1861450579
  Medicare reassignment NPD NM
• Page Hospital Critical Access Hospital · Page, AZ · NPI 1578515789
  Medicare reassignment NPD AZ
• Pokroy Medical Group of Nevada, LTD. Neonatal-Perinatal Medicine Physician · Las Vegas, NV · NPI 1992809412
  Medicare reassignment NPD NV · PEDIATRICS
• Rehoboth McKinley Christian Health Care Services, Inc Critical Access Hospital · Gallup, NM · NPI 1689784506
  Medicare reassignment NPD NM
• Roswell Clinic Corp Family Medicine Physician · Roswell, NM · NPI 1649267618
  Medicare reassignment NPD NM
• Sierra Vista Regional Health Center Medical Group LLC Family Medicine Physician · Sierra Vista, AZ · NPI 1043575483
  Medicare reassignment NPD AZ · PEDIATRICS
• Presbyterian Healthcare Services Internal Medicine Physician · Albuquerque, NM · NPI 1104802354
  Medicare reassignment NM
• Covenant Medical Group Rural Health Clinic/Center · Abernathy, TX · NPI 1538412895
  NPD
• Banner Hospital Based Physicians Arizona LLC Multi-Specialty Clinic/Center · Page, AZ · NPI 1316294242
  NPD
• Banner Hospital Based Physicians Arizona LLC Critical Care Medicine (Internal Medicine) Physician · Phoenix, AZ · NPI 1780445171
  NPD
• Deming Hospital Corporation Family Medicine Physician · Deming, NM · NPI 1437529344
  NPD
• Deming Hospital Corporation Medicare Defined Swing Bed Hospital Unit · Deming, NM · NPI 1710196571
  NPD
• HRMC, LLC Internal Medicine Physician · Lake Havasu City, AZ · NPI 1932610482
  NPD PEDIATRICS
• Otero County Hospital Association Community/Retail Pharmacy · Alamogordo, NM · NPI 1235948803
  NPD
• Page Hospital Rural Health Clinic/Center · Page, AZ · NPI 1902317829
  NPD
• Rehoboth McKinley Christian Health Care Services, Inc Rural Health Clinic/Center · Gallup, NM · NPI 1689779860
  NPD PEDIATRICS
• Rehoboth McKinley Christian Health Care Services, Inc. Critical Access Hospital · Gallup, NM · NPI 1720084999
  NPD
• Roswell Clinic Corp Durable Medical Equipment & Medical Supplies · Roswell, NM · NPI 1396958633
  NPD
• Matagorda County Hospital District General Acute Care Hospital · Bay City, TX · NPI 1679678767
  NPD (past)
• Covenant Hospital Hobbs General Acute Care Hospital · Hobbs, NM · NPI 1215534466
  NPD (past)

View all 28

Medicare participation

Medicare fee-for-service enrollment

Enrolled (4 enrollments) in AZ, TX, NM, NV

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
• Direct secure messaging: jason.wang.1@6965.direct.athenahealth.com
• Direct secure messaging: jwang@yourcarecommunity.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2021.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1396130571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WYOMING AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025329",
            "telephone_number": "915-302-3030",
            "fax_number": "915-302-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WYOMING AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025329",
            "telephone_number": "915-302-3030",
            "fax_number": "915-302-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 W Charleston Blvd",
            "address_2": "Suite 402, ATTN Kathy Finn",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022227",
            "country_code": "US",
            "telephone_number": "702-671-2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 S Mallard St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072651",
            "country_code": "US",
            "telephone_number": "972-948-1198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 MURCHISON DR",
            "address_purpose": "LOCATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022824",
            "country_code": "US",
            "telephone_number": "520-263-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 E Yandell Dr",
            "address_2": "Ste 117",
            "address_purpose": "LOCATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033724",
            "country_code": "US",
            "telephone_number": "915-302-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD22710",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "18398",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "57640",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S3608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

• Sandra Janette Wancho
• Wander in Harmony Wellness, Inc.
• Chin Sing Wang, MD, PHD
• Hsiang-Ming Wang, DDS
• James Wang, MD
• Michele Wang, MD
• Min Chih Wang
• Shufeng Wang
• You Annie Wang, OD
• Priyanka Wani, M.D.

All providers in El Paso, TX · Pediatrics Physician in Texas