Individual provider Active NPI

Steven Guo Wan

  • Obstetrics & Gynecology Physician
  • Newburyport, MA
National Provider Identifier
1750946778
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1015843 Issued in MA
Practice address
255 Low St Ste 101
Newburyport, MA 01950-3596
Phone
(978) 556-0100
NPI assigned
May 6, 2019
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 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 1015843 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

255 Low St Ste 101
Newburyport, MA 01950-3596

Mailing address

PO Box 24529
New York, NY 10087-3729

Other practice location 1

600 Primrose St
Haverhill, MA 01830-2659
Phone (978) 556-0100

Other practice location 2

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4006

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240302000621 MA Practitioner - Obstetrics/Gynecology 3577918457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians

Practice addresses (Care Compare)

600 Primrose St
Suite 202
Haverhill, MA 01830-2659
Phone (978) 556-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Dec 21, 2023 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients
Newburyport Cardiovascular Associates, LLC PastSince Dec 21, 2023 Accepting new patients
Anna Jaques Hospital PastSince Dec 21, 2023 Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

600 Primrose St
Haverhill, MA 01830
Phone (978) 373-4400

600 Primrose St
Ste 202
Haverhill, MA 01830
Phone (978) 556-0100

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

255 Low St
Ste 101
Newburyport, MA 01950
Phone (978) 255-4607

Interoperability endpoints

  • Direct secure messaging: swan448814@direct.bilh.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1750946778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24529",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LOW ST STE 101",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503596",
            "telephone_number": "978-556-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Primrose St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018302659",
            "country_code": "US",
            "telephone_number": "978-556-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "13210",
            "country_code": "US",
            "telephone_number": "315-464-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAN",
        "first_name": "STEVEN",
        "middle_name": "GUO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "1015843",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.