Individual provider Active NPI

Christina Wang, PA-C

  • Surgical Physician Assistant
  • Holland, MI
National Provider Identifier
1952812273
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601011722 Issued in MI
Practice address
370 N 120TH Ave
Holland, MI 49424-2120
Phone
(616) 396-5855
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9110835 FL
Surgical Physician Assistant 363AS0400X 5601011722 MI Primary

Addresses

Primary practice location

370 N 120TH Ave
Holland, MI 49424-2120

Mailing address

370 N 120TH Ave
Holland, MI 49424-2120
Phone (616) 396-5855

Other practice location 1

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

Other practice location 2

8384 W Oakland Park Blvd
Sunrise, FL 33351-7372
Phone (954) 742-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181214000669 FL Practitioner - Physician Assistant 9638414956 Reassigns benefits to 1 organization
I20230607002305 MI Practitioner - Physician Assistant 9638414956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

370 N 120TH Ave
Holland, MI 49424-2196

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110835FLMDInternal Medicine Physician
5601011722MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Orthopaedic & Sports Medicine Clinic P L C CurrentSince Jul 10, 2023 Accepting new patients
Orthopaedic Associates of Muskegon, PC CurrentSince Apr 1, 2026 Accepting new patients
Tenet Florida Physician Services II, LLC Surgical CurrentSince Mar 29, 2022 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Mar 29, 2022 Accepting new patients
Orthopaedic Associates of Muskegon, PC CurrentSince Apr 1, 2026 Accepting new patients

Locations

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

370 N 120th Ave
Ste 20
Holland, MI 49424
Phone (616) 396-5855

370 N 120th Ave
Holland, MI 49424
Phone (616) 396-5855

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

Organizations & group practices 6

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 1

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1952812273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bayview Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333061772",
            "country_code": "US",
            "telephone_number": "954-567-1332",
            "fax_number": "954-537-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8384 W Oakland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517372",
            "country_code": "US",
            "telephone_number": "954-742-0112",
            "fax_number": "616-212-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "9110835",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601011722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.