Individual provider Active NPI

Lawrence L Wang, MD

  • Specialist
  • Batesville, IN
National Provider Identifier
1558315697
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01045256A Issued in IN
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

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20009930AMedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041030000258 IN Practitioner - Diagnostic Radiology 1557323763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01045256AINMDDiagnostic 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

Verify at the official NPI Registry.