Individual provider Active NPI

Wesley Stephan Hwang, DO

  • Family Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1619505799
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS022519 Issued in PA
Practice address
4070 Butler Pike Ste 200
Plymouth Meeting, PA 19462-1510
Phone
(610) 825-5741
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS022519 PA Primary

Addresses

Primary practice location

4070 Butler Pike Ste 200
Plymouth Meeting, PA 19462-1510

Mailing address

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003874 PA Practitioner - Family Practice 8729441175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

4070 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1510
Phone (610) 825-5741

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2025 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients

Locations

1330 Powell St
Ste 308
Norristown, PA 19401
Phone (484) 622-7371

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1619505799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BUTLER PIKE STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621510",
            "telephone_number": "610-825-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "WESLEY",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS022519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.