George Wang, M.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

29668 Issued in AZ

Practice address

2919 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2164

Phone

(480) 967-6888

Fax

(480) 967-6887

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Enrolled in AZ

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

Neurology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Wang,MD,LLCGroup PAC ID 6608789755, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advance Home Health Care, LLC Home health agency, Mesa, AZ, CCN 037462
• American Home Health Services, Inc. Home health agency, Mesa, AZ, CCN 037426
• Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• George Wang,MD,LLC

  • Neurology Physician
  • Mesa, AZ
  • NPI 1184679201
  Medicare reassignment Care Compare group NPD Authorized official
• George Wang,MD,LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1972077220
  NPD

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

• Advance Home Health Care LLC

  • Home Health Agency
  • Mesa, AZ
  • NPI 1659751006
  Care Compare affiliation
• American Home Health Services, Inc

  • Home Health Agency
  • Mesa, AZ
  • NPI 1114279536
  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Ambulance
  • Kearny, AZ
  • NPI 1245824747

  Hospital

  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233

  Hospital

  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1851342828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "29668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "752987075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFE WISE HEALTH CARE",
            "identifier": "752987075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z6331",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4229278-001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "AZ0712630",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7080374",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "752987075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "358680100",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642852",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "752987075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "752987075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00079658",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Dale Wamboldt, M.D.
• Wanda Juarros MD Family Health Care PLLC
• Wandering Creek Therapy
• Aliera Marie Wandrey
• Alisa Wang
• Yen Chun Wang, DDS
• Macy Joanne Wangler
• Brian Wanner, D.O.
• Connor Ward
• Eva Lorane Ward

• Neurology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.