Colby Lowel Wang, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

34358 Issued in MT

Practice address

715 Kensington Ave Ste 24B
Missoula, MT 59801-5700

Phone

(406) 830-3294

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Preventative Psychiatry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801837067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE",
            "address_2": "SUITE 24 B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-830-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE STE 24B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-830-3294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 W Republic Rd",
            "address_2": "Ste B112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075818",
            "country_code": "US",
            "telephone_number": "417-886-6067",
            "fax_number": "417-886-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "COLBY",
        "middle_name": "LOWEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "34358",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "34358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PREVENTATIVE",
            "last_name": "PSYCHIATRY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Reegan Rakel Walsh
• Kaylee Walter-Friede, CCC SLP
• Sarah Walter
• Kelsey Taylor Walton, MD
• Jennifer Anne Waltz, PH.D.
• Ashley Ward, MD
• Greg R Ward
• Melinda Ward, LCSW
• Stewart R Ward, OD
• Melissa Wardlow, LMT

• General Practice Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• General Practice Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.