Individual provider Active NPI

Joseph Kwesi Wangeh, MD

  • Pediatrics Physician
  • Dillon, SC
National Provider Identifier
1902826050
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27518 Issued in SC
Practice address
705 N 8TH Ave
Suite 3a
Dillon, SC 29536-2549
Phone
(843) 774-6091
Fax
(843) 841-3814
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27518 SC Primary

Addresses

Primary practice location

705 N 8TH Ave
Suite 3a
Dillon, SC 29536-2549

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7162

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.wangeh@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20041228000766 SC Practitioner - Pediatric Medicine 9739147430 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jul 1, 2013 Accepting new patients
McLeod Physician Associates II Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
McLeod Medical Center-Dillon Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

705 N 8th Ave
Ste 3A
Dillon, SC 29536
Phone (843) 774-6091

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: joseph.wangeh@mpaii.eclinicaldirectplus.com
  • Direct secure messaging: jwangeh18704@directmcleodehealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1902826050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7162",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 8TH AVE",
            "address_2": "SUITE 3A",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362549",
            "telephone_number": "843-774-6091",
            "fax_number": "843-841-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGEH",
        "first_name": "JOSEPH",
        "middle_name": "KWESI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "27518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.wangeh@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "705 N 8th Ave",
            "address_2": "Suite 3A",
            "city": "Dillon",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295362549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

Verify at the official NPI Registry.