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

Last updated

Apr 21, 2011By the provider in NPPES

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, MDNPI 1447244363

Title

President

Phone

(618) 259-5096

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peng Nan Wang, MD

  • Cardiovascular Disease Physician
  • Alton, IL
  • NPI 1447244363
  Authorized official Same address or phone

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.