Active NPI
Joseph L Wang, M.D.
- Gastroenterology Physician
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 105279
- Practice address
- 1241 W Stadium Blvd
Jefferson City, MO 65109-6023 - Phone
- (573) 635-5264
- Fax
- (573) 556-1719
- NPI assigned
- Mar 23, 2006
- Last updated
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 105279 | MO | |
| Gastroenterology Physician | 207RG0100X | MD-26081 | HI | |
| Gastroenterology Physician | 207RG0100X | 105279 | MO | Primary |
Addresses
Primary practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Mailing address
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 635-5264
Other practice location 1
3901 S Fremont Ave Fl 4
Springfield, MO 65804-6538
Phone (000) 000-0000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0288557 | Other | MO | HEALTHLINK |
| 1000009318 | Other | MO | RAILROAD MEDICARE |
| 101132 | Other | MO | BCBS |
| CP9089 | Other | MO | RAILROAD GROUP |
| 208254508 | Medicaid | MO | |
| 55163 | Other | MO | GHP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Northwestern University Feinberg Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E Primrose St
Springfield, MO 65807-5155
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 556-5771
2505 Mission Dr
Suite 130
Jefferson City, MO 65109-9508
Phone (573) 681-3585
3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000
3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000
Hospital & facility affiliations
- Hilo Benioff Medical Center
- SSM Health St. Mary's Hospital - Jefferson City
- University of Missouri Health Care
- Cox Medical Centers
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 151 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-26081 | HI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Gastroenterology | Current | Accepting new patients |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
7655 Solutions Ctr
Chicago, IL 60677
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095
100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
1241 W Stadium Blvd
Fl 2
Jefferson Cty, MO 65109
Phone (573) 556-7704
1241 W Stadium Blvd
Ste 2200
Jefferson Cty, MO 65109
Phone (573) 556-5747
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9842
3901 S Fremont Ave
Fl 4
Springfield, MO 65804
Phone (417) 875-3250
901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666
40 Sunset Ridge Rd
Ste 120
New Paltz, NY 12561
Interoperability endpoints
- joseph.wang@jcmg.eclinicaldirectplus.com
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336189398
-
dba Cox Health Cardiovascular Services
- Cardiovascular Disease Physician
- Springfield, MO
- NPI 1750036703
-
dba SSM Health Medical Group- Cardiothoracic Surgery
- Clinic/Center
- Jefferson City, MO
- NPI 1649217837
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
dba JCMG Hematology/Oncology
- Hematology & Oncology Physician
- Jefferson City, MO
- NPI 1215093257
-
dba JCMG Laboratory
- Clinical Medical Laboratory
- Jefferson City, MO
- NPI 1811292105
-
dba CoxHealth Neurology
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
dba CoxHealth Gastroenterology
- Gastroenterology Physician
- Springfield, MO
- NPI 1184372674
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1922119726
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
-
dba SSM Health St. Mary's Hospital Jefferson City
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1437118718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 W STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096023",
"telephone_number": "573-635-5264",
"fax_number": "573-556-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 W STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096023",
"telephone_number": "573-635-5264",
"fax_number": "573-556-1719"
}
],
"practiceLocations": [
{
"address_1": "3901 S Fremont Ave Fl 4",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658046538",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "105279",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "HI",
"license": "MD-26081",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "105279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "0288557",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1000009318",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "101132",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "CP9089",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208254508",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "55163",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.1",
"affiliationName": "Bluemark LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "40 Sunset Ridge Rd Ste 120",
"city": "New Paltz",
"state": "NY",
"country_code": "US",
"postal_code": "125611039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.