LOUIS WANG (NPI# 1013008317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013008317 |
| Entity Type | Individual |
| Full Name | LOUIS WANG |
| Credential | MD |
| Practice Address |
80 South Main Street Suite 102 Middletown CT 06457-3648 |
| Practice Telephone | 8603441401 |
| Practice Fax Number | 8603471023 |
| Mailing Telephone | 8603441401 |
| Mailing Fax Number | 8603471023 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
023241 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 2119762 | 01 | |
| ATHEM BCBS | 010023241CT02 | 01 | |
| CIGNA | 6218842006 | 01 | |
| HEALTH NET | 0V0117 | 01 | |
| OXFORD | P3133385 | 01 | |
| CONNECTICARE | 077909 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104907310 | Louis Hsi Wang | Physical Therapist | 2700 W. Martin Luther King Jr Blvd, Suite 260, Tampa, FL 33607 | 2006-10-17 |
| Street Address |
80 SOUTH MAIN STREET SUITE 102 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699709055 | Gary Vincent Roegiers | Chiropractor | 80 South Main Street, Middletown, CT 06457 | 2006-07-10 |
| 1689764334 | Oral and Maxillofacial Surgeons PC | Oral & Maxillofacial Surgery | 80 South Main Street, Middletown, CT 06457 | 2006-10-13 |
| 1124118872 | Oral and Maxillofacial Surgeons PC | Oral & Maxillofacial Surgery | 80 South Main Street, Middletown, CT 06457 | 2006-10-13 |
| 1902904378 | Oral and Maxillofacial Surgeons PC | Oral & Maxillofacial Surgery | 80 South Main Street, Middletown, CT 06457 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457546442 | Robert Francis Bottone | Otolaryngology | 156 Cherry St, Second Floor, New Canaan, CT 06840-5524 | 2007-09-12 |
| 1285789081 | William Mancoll | Otolaryngology | 17 Cliffmore Rd, West Hartford, CT 06107-1116 | 2007-01-24 |
| 1477538205 | Thomas Henry Lesnik | Otolaryngology | 119 Lafayette St, Norwich, CT 06360-2708 | 2005-12-14 |
| 1497743991 | Larry M Marcus | Otolaryngology | 255 N Main St, Bristol, CT 06010-4972 | 2005-10-10 |
| 1689835316 | Thomas H. Lesnik, Md,pc | Otolaryngology | 119 Lafayette St, Norwich, CT 06360-2708 | 2008-06-25 |
| 1326212523 | Heather Holmes Waters | Otolaryngology | 761 Main Ave Ste 101, Norwalk, CT 06851-1080 | 2008-04-17 |
| 1740228824 | Lawrence J Fliegelman | Otolaryngology | 1305 Post Rd, Suite 302, Fairfield, CT 06824-6016 | 2006-06-02 |
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on LOUIS WANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.