Individual provider Active NPI

Chia-Lien Wang, M.D.

  • Obstetrics & Gynecology Physician
  • Flagstaff, AZ
National Provider Identifier
1689641656
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
77411 Issued in AZ
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 779-3366
NPI assigned
Mar 8, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J3388 TX
Obstetrics & Gynecology Physician 207V00000X 77411 AZ Primary

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

2410 Wycon Dr Ste 204
Waco, TX 76712-8991
Phone (254) 752-9221

Other practice location 1

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Other practice location 2

2410 Wycon Dr Ste 204
Waco, TX 76712-8991
Phone (254) 752-9221

Other identifiers 1

IdentifierTypeStateIssuer
101581002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070815000473 TX Practitioner - Obstetrics/Gynecology 7214029644 Reassigns benefits to 3 organizations
I20250610003430 MT Practitioner - Obstetrics/Gynecology 7214029644 Reassigns benefits to 1 organization
I20250820004979 AZ Practitioner - Obstetrics/Gynecology 7214029644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 28, 2018 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jul 8, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jan 6, 2026 Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince May 17, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Jul 8, 2025 Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince Jan 6, 2026 Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince May 17, 2025 Accepting new patients
Texas Children's Physician Group CurrentSince Aug 27, 2024 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
Hillcrest Baptist Medical Center Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

305 W Porphyry St
#200
Butte, MT 59701
Phone (406) 496-3627

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1689641656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 WYCON DR STE 204",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128991",
            "telephone_number": "254-752-9221",
            "fax_number": "254-755-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-779-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767072261",
            "country_code": "US",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 Wycon Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128991",
            "country_code": "US",
            "telephone_number": "254-752-9221",
            "fax_number": "254-755-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHIA-LIEN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J3388",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "77411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101581002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.