Active NPI
Jun Wang, M.D.
- Anesthesiology Physician
- Fort Wayne, IN
National Provider Identifier
1457336539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01060887
- Practice address
- 10351 Dawsons Creek Blvd
Ste D
Fort Wayne, IN 46825-1904 - Phone
- (260) 969-1950
- Fax
- (260) 969-0989
- NPI assigned
- Dec 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01060887 | IN | Primary |
Addresses
Primary practice location
10351 Dawsons Creek Blvd
Ste D
Fort Wayne, IN 46825-1904
Mailing address
PO Box 11535
Fort Wayne, IN 46859-1535
Phone (317) 567-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200850020 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Anesthesiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N Main St
Upmc Horizon Hospital
Greenville, PA 16125-1726
Phone (724) 589-6161
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Summit Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates, PLL | Past | Accepting new patients | |
| Emergency Physicians of Indiana PC | Past | Accepting new patients | |
| Amsol Physicians of Ohio, PC | Anesthesiology | Past | Accepting new patients |
| Ohio Anesthesia Group, Inc | Anesthesiology | Past | Accepting new patients |
Locations
110 N Main St
Greenville, PA 16125
Phone (724) 588-2100
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
Interoperability endpoints
- jun.wang@upmcdirect.com
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Emergency Medicine Physician
- Auburn, IN
- NPI 1003869454
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1649368085
-
- Anesthesiology Physician
- Fairfield, OH
- NPI 1225375298
-
- Specialist
- Painesville, OH
- NPI 1801823182
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, PA
- NPI 1225048838
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1457336539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11535",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468591535",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10351 DAWSONS CREEK BLVD",
"address_2": "STE D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251904",
"telephone_number": "260-969-1950",
"fax_number": "260-969-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01060887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200850020",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.