Active NPI
Page Inman Wang
- Diagnostic Radiology Physician
- Seattle, WA
National Provider Identifier
1831393842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 60542545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49304 | AZ | MD | Diagnostic Radiology Physician |
| 120456 | FL | MD | Diagnostic Radiology Physician |
| 036135610 | IL | MD | Diagnostic Radiology Physician |
| 01074269 | IN | MD | Diagnostic Radiology Physician |
| 4301090310 | MI | MD | Diagnostic Radiology Physician |
| 2014018807 | MO | MD | Diagnostic Radiology Physician |
| 35.124250 | OH | MD | Diagnostic Radiology Physician |
| 452102 | PA | MD | Diagnostic Radiology Physician |
| 51632 | TN | MD | Diagnostic Radiology Physician |
| 60542545 | WA | MD | Diagnostic Radiology Physician |
| 25990 | WV | MD | Diagnostic 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.