Individual provider Active NPI

Yun Wen Wang, SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1619280575
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13722 Issued in OH
Practice address
510 E North Broadway St
Columbus, OH 43214-4114
Phone
(614) 263-5151
Fax
(614) 263-5365
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.13722 OH Primary

Addresses

Primary practice location

510 E North Broadway St
Columbus, OH 43214-4114

Mailing address

2500 N Church St
Greensboro, NC 27405-4314
Phone (336) 375-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000383 OH Practitioner - Qualified Speech Language Pathologist 3678918612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.13722OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Speech and Hearing Center Speech-Language Pathologist CurrentSince Jan 22, 2024 Accepting new patients

Locations

510 E North Broadway St
Columbus, OH 43214
Phone (614) 263-5151

5155 Bradenton Ave
Ste 150
Dublin, OH 43017
Phone (614) 263-5151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1619280575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054314",
            "telephone_number": "336-375-2240",
            "fax_number": "336-375-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144114",
            "telephone_number": "614-263-5151",
            "fax_number": "614-263-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YUN WEN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.