Active NPI
Lawrence L Wang, MD
- Specialist
- Batesville, IN
National Provider Identifier
1558315697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01045256A
- Practice address
- 321 Mitchell Ave
Batesville, IN 47006-8909 - Phone
- (513) 965-8041
- Fax
- (513) 965-8091
- NPI assigned
- May 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01045256A | IN | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01045256A | IN |
Addresses
Primary practice location
321 Mitchell Ave
Batesville, IN 47006-8909
Mailing address
PO Box 428704
Cincinnati, OH 45242-8704
Phone (513) 965-8041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20009930A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041030000258 | IN | Practitioner - Diagnostic Radiology | 1557323763 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045256A | IN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1558315697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428704",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452428704",
"telephone_number": "513-965-8041",
"fax_number": "513-965-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MITCHELL AVE",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470068909",
"telephone_number": "513-965-8041",
"fax_number": "513-965-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "LAWRENCE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01045256A",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01045256A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20009930A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.