Individual provider Active NPI

Lawrence P Wang, MD

  • Internal Medicine Physician
  • Terrace Park, OH
National Provider Identifier
1922004704
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35079958 Issued in OH
Practice address
614 Wooster Pike Ste 7
Terrace Park, OH 45174-1061
Phone
(513) 831-8690
NPI assigned
Jun 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35079958 OH Primary

Addresses

Primary practice location

614 Wooster Pike Ste 7
Terrace Park, OH 45174-1061

Mailing address

614 Wooster Pike Ste 7
Terrace Park, OH 45174-1061
Phone (513) 831-8690

Other identifiers 1

IdentifierTypeStateIssuer
2254108MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050520000000 OH Practitioner - Internal Medicine 9133160229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

614 Wooster Pike
Suite 7
Terrace Park, OH 45174-1061
Phone (513) 831-8690

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079958OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence P Wang MD LLC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

738 Lila Ave
Milford, OH 45150
Phone (513) 831-8690

614 Wooster Pike
Ste 7
Terrace Park, OH 45174
Phone (513) 831-8690

Interoperability endpoints

  • Direct secure messaging: lawrence_wang@lawrencewangmd.amazing-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1922004704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WOOSTER PIKE STE 7",
            "city": "TERRACE PARK",
            "state": "OH",
            "postal_code": "451741061",
            "telephone_number": "513-831-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 WOOSTER PIKE STE 7",
            "city": "TERRACE PARK",
            "state": "OH",
            "postal_code": "451741061",
            "telephone_number": "513-831-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LAWRENCE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2254108",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrace Park, OH

Sources for this page

Verify at the official NPI Registry.