Fang Wang, D.O.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

L9540 Issued in TX

Practice address

4625 Meadow Ridge Dr
Plano, TX 75093-3397

Phone

(214) 663-4029

Fax

(972) 669-1313

NPI assigned

Aug 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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.

• Preston Primary Medical Clinic PA

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1447128186
  Medicare reassignment NPD Authorized official
• Chong Liu, MD, PA

  • Family Medicine Physician
  • Richardson, TX
  • NPI 1790958197
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1689865289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 MEADOW RIDGE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933397",
            "telephone_number": "214-663-4029",
            "fax_number": "972-669-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 MEADOW RIDGE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933397",
            "telephone_number": "214-663-4029",
            "fax_number": "972-669-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FANG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "L9540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L9540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ralf Wancha, NP
• Alicia Thompson Wanek, M.S., CCC-SLP
• Aldrich Tio Wang, DPT, PT
• Alex Wang
• Baijia Wang, CGC
• Haomiao Wang
• Ing-Ing Rebecca Wang, NP-C
• Jing Wang
• Lei Wang, M.D.
• Tao Wang

• Rheumatology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.