Organization Active NPI

W M D Heart Care, LLC

Doing business as Heart Care Plus

  • Cardiovascular Disease Physician
  • Madison, MS
National Provider Identifier
1952537219
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19834 Issued in MS
Legal business name
W M D HEART CARE, LLC
Doing business as
Heart Care Plus
Practice address
100 Whisper Lake Blvd
Madison, MS 39110-7881
Phone
(601) 664-2424
Fax
(601) 664-6675
NPI assigned
Jun 1, 2009
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Zilin Wang, M.D.NPI 1396701553
Title
Physician Ceo
Phone
(601) 900-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 19834 MS Primary

Addresses

Primary practice location

100 Whisper Lake Blvd
Madison, MS 39110-7881

Mailing address

PO Box 1455
Madison, MS 39130-1455
Phone (601) 664-2424

Other identifiers 2

IdentifierTypeStateIssuer
03229528MedicaidMS
1396701553OtherINDIVIDUAL NPI

Other names 1

  • Heart Care Plus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091215000708 MS Part B Supplier - Clinic/Group Practice 9234279621 Receives reassigned benefits from 1 practitioner
Practice locations: Flowood, MS; Jackson, MS; Lexington, MS; Madison, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1952537219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391301455",
            "telephone_number": "601-664-2424",
            "fax_number": "601-664-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHISPER LAKE BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107881",
            "telephone_number": "601-664-2424",
            "fax_number": "601-664-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W M D HEART CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ZILIN",
        "authorized_official_title_or_position": "PHYSICIAN CEO",
        "authorized_official_telephone_number": "601-900-8500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "19834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03229528",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396701553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Care Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.