Miranda O Wang-Gor, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3786 Issued in TX

Practice address

11619 Shadow Creek Pkwy # 110
Pearland, TX 77584-7262

Phone

(713) 461-2915

Fax

(713) 461-5307

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

West Virginia University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
• HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miranda.wang-gor.1@13711.direct.athenahealth.com

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.

• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1841643327
  Medicare reassignment Care Compare group NPD
• East Houston Medical Group

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1710924568
  NPD (past)

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

• Chca Pearland, L.P.

  • General Acute Care Hospital
  • Pearland, TX
  • NPI 1609275585
  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Pearland, TX
  • NPI 1669402335

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1730132234
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1821030065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 KATY FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241507",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11619 SHADOW CREEK PKWY # 110",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847262",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Broadway St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775848075",
            "country_code": "US",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG-GOR",
        "first_name": "MIRANDA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Wallington
• Megan Walsh, COTA
• Ryan Walsh, M.D.
• Walter J Family and Wellness Clinic PLLC
• Ashley Marie Walton, O.D.
• Bun Wang
• Haihui Wang, M.D.
• Ipu Emily Wang, O.D.
• Kai Wang, AUD
• Linda Wang, M.D.

• Family Medicine Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.