Individual provider Active NPI

George Wang, M.D

  • Neurology Physician
  • Mesa, AZ
National Provider Identifier
1851342828
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 29668 AZ Primary

Addresses

Primary practice location

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

Mailing address

2919 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2164
Phone (480) 967-6888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031125000804 AZ Practitioner - Neurology 2264345164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

2919 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2168
Phone (480) 357-5780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George Wang,MD,LLC Neurology CurrentSince Jul 1, 2002 Accepting new patients
George Wang,MD,LLC CurrentSince Jul 1, 2002 Accepting new patients

Locations

2045 S Vineyard
Ste 144
Mesa, AZ 85210
Phone (480) 330-6010

2152 S Vineyard
Ste 131
Mesa, AZ 85210
Phone (480) 820-2533

2919 S Ellsworth Rd
Ste 113
Mesa, AZ 85212

2919 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (480) 357-5780

1492 S Mill Ave
Ste 214
Tempe, AZ 85281

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.