NPIMap

Organization Active NPI

Wangmed

  • Internal Medicine Physician
  • Fulton, MD
National Provider Identifier
1700021227
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WANGMED
Practice address
7802 Early Morning St
Fulton, MD 20759-2518
Phone
(410) 335-0008
Fax
(410) 335-1133
NPI assigned
Dec 12, 2008
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Betty Yu-Wah Wang, D.O.NPI 1851310759
Title
Owner
Phone
(310) 455-7409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7802 Early Morning St
Fulton, MD 20759-2518

Mailing address

10845 Philadelphia Rd
White Marsh, MD 21162-1717
Phone (410) 335-0008

Other identifiers 5

IdentifierTypeStateIssuer
417555700OtherMDMEDICAL ASSISTANCE
DP0510OtherGARAILROAD MEDICARE
DW1WBYOtherMDCAREFIRST
155274OtherMDMEDICARE
P424OtherDCCAREFIRST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1700021227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 EARLY MORNING ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592518",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANGMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "YU-WAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-455-7409",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "417555700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP0510",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "DW1WBY",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "155274",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "P424",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.