Individual provider Active NPI

Fan Wang, M.D., PH.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1942263009
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M2236 Issued in TX
Practice address
6671 Southwest Fwy Ste 320
Houston, TX 77074-2220
Phone
(713) 884-8887
Fax
(713) 884-8480
NPI assigned
Apr 10, 2006
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M2236 TX Primary

Addresses

Primary practice location

6671 Southwest Fwy Ste 320
Houston, TX 77074-2220

Mailing address

6 Windsor PL
Houston, TX 77055-3900
Phone (713) 884-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060322000307 TX Practitioner - Obstetrics/Gynecology 7517975220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 W Parker Rd
Suite 606
Houston, TX 77076-2939
Phone (713) 884-8887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2236TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fan Wang MD PHD OB GYN PLLC Obstetrics & Gynecology CurrentSince Jun 7, 2009 Accepting new patients

Locations

150 W Parker Rd
Ste 606
Houston, TX 77076
Phone (713) 884-8887

6671 Southwest Fwy
Ste 320
Houston, TX 77074
Phone (713) 541-4442

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1942263009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WINDSOR PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553900",
            "telephone_number": "713-884-8887",
            "fax_number": "713-884-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 SOUTHWEST FWY STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742220",
            "telephone_number": "713-884-8887",
            "fax_number": "713-884-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.