Haiqiu Elaine Wang, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD37771 Issued in TN

Practice address

420 S Germantown Pkwy
Suite 105B
Cordova, TN 38018-4387

Phone

(901) 343-0180

Fax

(901) 590-0349

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Medicine & Weight Loss MD PLLC

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1598176687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1467466136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S GERMANTOWN PKWY",
            "address_2": "SUITE 105B",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184387",
            "telephone_number": "901-343-0180",
            "fax_number": "901-590-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S GERMANTOWN PKWY",
            "address_2": "SUITE 105B",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184387",
            "telephone_number": "901-343-0180",
            "fax_number": "901-590-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HAIQIU",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD37771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3703214",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006833",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ab Walker, MD
• Lisa Wallace, BCBA
• Monica Walton
• Yair Walzer, MD
• Mary H Wanat, PHD
• Kaihua Wang, DPM
• Ying Wang, LAC
• Morgan Ward
• Holly Warner
• Angela Warren

• Family Medicine Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.

Verify at the official NPI Registry.