Russell Wang, D.D.S., M.S.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

30-020060 Issued in OH

Practice address

10568 Ravenna Rd
Ste 5
Twinsburg, OH 44087-1654

Phone

(440) 446-1819

Fax

(440) 442-2316

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1841318565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10568 RAVENNA RD",
            "address_2": "STE 5",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871654",
            "telephone_number": "440-446-1819",
            "fax_number": "440-442-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10568 RAVENNA RD",
            "address_2": "STE 5",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871654",
            "telephone_number": "440-446-1819",
            "fax_number": "440-442-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "RUSSELL",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30-020060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285436",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akeyla Walker
• Christi Lee Walsh, DDS
• Kumudu Sudhanshi Wanasinghe, APRN,PMHNP
• Jianhua Wang, M.D.
• Liming Wang
• Sihua Wang, DMD
• Tammy Ward-Chappell
• Lydia Ward, LSW
• Sarah Ward
• Emily Marie Wasko, DPM

• Prosthodontics in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Prosthodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.

Verify at the official NPI Registry.