Individual provider Active NPI

Wayne Wang, NP-C

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1871927335
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124215 Issued in TX
Practice address
4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone
(713) 359-1440
Fax
(713) 777-9617
NPI assigned
Sep 2, 2013
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP124215 TX Primary

Addresses

Primary practice location

4000 Spencer Hwy
Pasadena, TX 77504-1202

Mailing address

9898 Bissonnet St
Suite 600
Houston, TX 77036-8270
Phone (713) 777-9171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140227000787 TX Practitioner - Nurse Practitioner 8729051693 Reassigns benefits to 2 organizations
I20160428002003 WI Practitioner - Nurse Practitioner 8729051693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP124215TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group CurrentSince Jan 1, 2014 Accepting new patients
Emergency Physician Associates of Wisconsin SC CurrentSince Apr 1, 2016 Accepting new patients
Oakbend Medical Group CurrentSince Jan 1, 2014 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 19, 2023 Accepting new patients
Tawl Health Care Inc Past Accepting new patients
Tawl Health Care Inc PastSince Dec 4, 2007 Accepting new patients
Singleton Associates PA Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-8100

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

3100 Shore Dr
Marinette, WI 54143
Phone (715) 735-4200

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Interoperability endpoints

  • Direct secure messaging: wwang178959@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tawl Health Care IncHouston, TX, CCN 459292 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Director
W-2 Managing Employee
Dec 4, 2007
Dec 4, 2007
Dec 4, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1871927335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST",
            "address_2": "SUITE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368270",
            "telephone_number": "713-777-9171",
            "fax_number": "713-777-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041202",
            "telephone_number": "713-359-1440",
            "fax_number": "713-777-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "WAYNE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.