Quan James Wang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

021731 Issued in OH

Practice address

12065 Montgomery Rd
Montgomery, OH 45249-1728

Phone

(513) 239-6854

Fax

(513) 293-8994

NPI assigned

Oct 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sands Care Solutions, LLCGroup PAC ID 3678936994, 9 clinicians

CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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.

• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  Family Medicine, OH

  Medicare reassignment Care Compare group NPD
• S&S Care Solutions, LLC

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1679294516

  OH

  Medicare reassignment Care Compare group NPD
• Dayton Pain Center LLC

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1790730638

  OH

  Medicare reassignment NPD
• S&S Primary Care LLC

  • General Practice Physician
  • Cincinnati, OH
  • NPI 1659180800
  NPD

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1689149809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452491728",
            "telephone_number": "513-239-6854",
            "fax_number": "513-293-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452491728",
            "telephone_number": "513-239-6854",
            "fax_number": "513-293-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elizabeth Pl Ste D",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173445",
            "country_code": "US",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "QUAN JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "021731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "021731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Vanover, DO
• Jon Vardanyan, MD
• Katia Vela, MD
• Alexandria Vierling, PA-C
• Anmol Murli Wadhwani, D.O
• Shen-Hui Wang
• Wei Wang
• Christina Renee Watson, APRN
• Wayne a Lippert MD Inc
• Diana Lynn Weathers, R.D., L.D.

• All providers in Montgomery, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.