Organization Active NPI

Allan Wang MD LLC

  • Allergy & Immunology Physician
  • Kailua Kona, HI
National Provider Identifier
1700055217
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
9287 Issued in HI
Legal business name
ALLAN WANG MD LLC
Practice address
75-166 Kalani St
Suite 204
Kailua Kona, HI 96740-1857
Phone
(808) 329-9264
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Allan Veh Tuc Wang, MD, PHDNPI 1013911924
Title
Owner, Physician
Phone
(808) 989-6543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 9287 HI Primary

Addresses

Primary practice location

75-166 Kalani St
Suite 204
Kailua Kona, HI 96740-1857

Mailing address

PO Box 31000
Honolulu, HI 96849-5516
Phone (808) 329-9264

Other names 1

  • Hawaii Allergy Asthma & Immunology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901001388 HI Part B Supplier - Clinic/Group Practice 6406821339 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory

Locations

78-6831 Alii Dr
#E234
Kailua Kona, HI 96740
Phone (808) 329-9264

78-6831 Alii Dr
Ste E234
Kailua Kona, HI 96740
Phone (808) 329-9264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9210/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1700055217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968495516",
            "telephone_number": "808-329-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-166 KALANI ST",
            "address_2": "SUITE 204",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401857",
            "telephone_number": "808-329-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN WANG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "VEH TUC",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "808-989-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "HI",
            "license": "9287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Allergy Asthma & Immunology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.