Organization Active NPI

Sidney W. Wang MD PA

  • Family Medicine Physician
  • Merriam, KS
National Provider Identifier
1720237472
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-15639
Legal business name
SIDNEY W. WANG MD PA
Practice address
7315 E Frontage Rd
Suite 115
Merriam, KS 66204-1606
Phone
(913) 722-2020
Fax
(913) 722-4330
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Sidney W Wang, M.D.
Title
President
Phone
(913) 722-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 04-15639 Primary

Addresses

Primary practice location

7315 E Frontage Rd
Suite 115
Merriam, KS 66204-1606

Mailing address

7315 E Frontage Rd
Suite 115
Merriam, KS 66204-1606
Phone (913) 722-2020

National Provider Directory

National Provider Directory

Locations

7315 E Frontage Rd
Ste 115
Merriam, KS 66204
Phone (913) 722-2020

8901 W 74th St
Ste 148
Shawnee Msn, KS 66204
Phone (913) 722-2020

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1720237472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD",
            "address_2": "SUITE 115",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041606",
            "telephone_number": "913-722-2020",
            "fax_number": "913-722-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD",
            "address_2": "SUITE 115",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041606",
            "telephone_number": "913-722-2020",
            "fax_number": "913-722-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY W. WANG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-722-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "04-15639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.