Wang Cardiology LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

060.002020 Issued in IL

Legal business name

WANG CARDIOLOGY LTD

Practice address

2 Memorial Dr
Alton, IL 62002-6723

Phone

(618) 259-5096

Fax

(314) 275-8637

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peng N Wang, MD

Title

President

Phone

(618) 259-5096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1437323201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GREENTRAILS DR N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172552",
            "telephone_number": "618-259-5096",
            "fax_number": "314-275-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026723",
            "telephone_number": "618-259-5096",
            "fax_number": "314-275-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG CARDIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PENG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-259-5096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "060.002020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah S Walker, M.S. CCC-SLP/L
• Shanna Walker, M.S.
• Susan Elizabeth Walker, PT
• Shereece Nichole Wallace, DNP, AGPCNP-BC
• Courtney Wallendorff, BA
• Peng Nan Wang, MD
• Gerald A Wankum, M.D.
• Elaina Ward
• Naomi Marie Ward, R. D., L. D. N.
• Pamela Lynn Ware, BS

• Primary Care Clinic/Center in Alton, IL
• Providers in Alton, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.