Active NPI
Ying M. Wang, M.D.
- Body Imaging Physician
- Lynnwood, WA
National Provider Identifier
1760460240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- MD00044170
- Practice address
- 19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4746 - Phone
- (425) 563-1500
- Fax
- (425) 563-1374
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | MD00044170 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD00044170 | WA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD00044170 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | M-12374 | ID |
Addresses
Primary practice location
19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4746
Mailing address
19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4746
Phone (425) 563-1500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192389 | Other | WA | L&I PROVIDER |
| 204126 | Other | WA | L&I PROVIDER ID |
| 192387 | Other | WA | L&I PROVIDER |
| 8413841 | Medicaid | WA | |
| 1760460240 | Medicaid | ID | |
| 192388 | Other | WA | L&I PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110001276 | WA | Practitioner - Diagnostic Radiology | 0244290781 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-12374 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Medical Center-Radia Issaquah Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Everett Radia LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Everett, WA
- NPI 1578550240
-
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
-
- Diagnostic Radiology Physician
- Issaquah, WA
- NPI 1427001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1760460240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W",
"address_2": "STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364746",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19020 33RD AVE W",
"address_2": "STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364746",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YING",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "WA",
"license": "MD00044170",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00044170",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD00044170",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-12374",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER",
"identifier": "192389",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER ID",
"identifier": "204126",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER",
"identifier": "192387",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8413841",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760460240",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER",
"identifier": "192388",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.