Li Fen Wang, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

01029282A Issued in IN

Practice address

9012 Connecticut Dr
Merrillville, IN 46410-7170

Phone

(219) 769-6177

Fax

(219) 769-1374

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Josephine LF Wang Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Indiana Allergy and Asthma LLC

  • Allergy & Immunology Physician
  • Merrillville, IN
  • NPI 1003405762
  NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1972565323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 CONNECTICUT DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107170",
            "telephone_number": "219-769-6177",
            "fax_number": "219-769-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 CONNECTICUT DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107170",
            "telephone_number": "219-769-6177",
            "fax_number": "219-769-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LI FEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01029282A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "91107987",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS BLUE SH",
            "identifier": "000000095392",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "WANG",
            "middle_name": "LF",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Walker
• Reva C Walker
• Kathleen Wallace, APN
• Yolalnda N/a Wallace, LPN
• Kayla Walls
• Mengyun Wang
• XI Wang, MD, PHD
• Chris Ward
• Hailey Warkentien
• Alyssa Warn, RBT, BCBA

• Specialist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.