Stonebridge Adult Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M0601 Issued in TX

Legal business name

STONEBRIDGE ADULT MEDICINE PA

Practice address

3550 Parkwood Blvd
Ste 100
Frisco, TX 75034-1903

Phone

(214) 618-9715

Fax

(214) 618-9716

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Hui Paul Wang, MDNPI 1356341465

Title

Owner

Phone

(972) 415-2249

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hui Paul Wang, MD

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1356341465
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1922263565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-9715",
            "fax_number": "214-618-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-9715",
            "fax_number": "214-618-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE ADULT MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HUI",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-415-2249",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0073RZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stonebriar Pediatrics, P.a.
• Stonebriar Pharmaceutical Services (Stonebriar Pharmacy)
• Stonebriar Pharmacy
• Stonebriar Surgery Center, LLC
• Stonebriar Vision Centre, P.a.
• Stonebrook Community Services, Inc.
• Stonebrook Dental
• Stonebrook Eyecare, PLLC (Stonebrook Eyecare & Eyewear)
• Stonebrook Family Medicine
• Stonelake Family Dentistry PLLC (Stonelake Family Dentistry)

• Internal Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.