Individual provider Active NPI

Page Inman Wang

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1831393842
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60542545 Issued in WA
Practice address
4705 45TH Ave NE
Seattle, WA 98105-3921
Phone
(734) 478-2286
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 60542545 WA Primary
Diagnostic Radiology Physician 2085R0202X 49304 AZ
Diagnostic Radiology Physician 2085R0202X 120456 FL
Diagnostic Radiology Physician 2085R0202X 036135610 IL
Diagnostic Radiology Physician 2085R0202X 01074269 IN
Diagnostic Radiology Physician 2085R0202X 47576 KY
Diagnostic Radiology Physician 2085R0202X 4301090310 MI
Diagnostic Radiology Physician 2085R0202X 2014018807 MO
Diagnostic Radiology Physician 2085R0202X 35.124250 OH
Diagnostic Radiology Physician 2085R0202X 452102 PA
Diagnostic Radiology Physician 2085R0202X 51632 TN
Diagnostic Radiology Physician 2085R0202X 25990 WV

Addresses

Primary practice location

4705 45TH Ave NE
Seattle, WA 98105-3921

Mailing address

4705 45TH Ave NE
Seattle, WA 98105-3921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49304AZMDDiagnostic Radiology Physician
120456FLMDDiagnostic Radiology Physician
036135610ILMDDiagnostic Radiology Physician
01074269INMDDiagnostic Radiology Physician
4301090310MIMDDiagnostic Radiology Physician
2014018807MOMDDiagnostic Radiology Physician
35.124250OHMDDiagnostic Radiology Physician
452102PAMDDiagnostic Radiology Physician
51632TNMDDiagnostic Radiology Physician
60542545WAMDDiagnostic Radiology Physician
25990WVMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1831393842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 45TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 45TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053921",
            "telephone_number": "734-478-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "PAGE",
        "middle_name": "INMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "60542545",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "49304",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "120456",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036135610",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01074269",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "47576",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301090310",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2014018807",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.124250",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "452102",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "51632",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "25990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.