DR. YUBAO WANG (NPI# 1306942644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306942644 |
| Entity Type | Individual |
| Full Name | DR. YUBAO WANG |
| Credential | M.D. |
| Practice Address |
715 Dr Martin Luther King Jr Ave Ne Ste 102 Albuquerque NM 87102-3666 |
| Practice Telephone | 5057273040 |
| Practice Fax Number | 5057279590 |
| Mailing Telephone | 5057273040 |
| Mailing Fax Number | 5057279590 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2006004166 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD2017-0211 | NM | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
268689 | NY | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M5569 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 1306942644 | 01 |
| NM | 5908574 | 05 | |
| NY | 03641018 | 05 | |
| NY | BSWNY | 000535508001 | 01 |
| TX | 195626001 | 05 | |
| NY | INDEPENDENT HEALTH | 2717438 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 45 Spindrift Dr, Suite 100, Williamsville, NY 142217889 | 7165650355 | 7165659401 |
| Street Address |
715 DR MARTIN LUTHER KING JR AVE NE STE 102 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801062 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102-3666 | 2017-10-03 |
| 1184980989 | Paul Allen Brittain | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| 1114990298 | Murray M Bern | Internal Medicine | Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-02-09 |
| 1073506531 | Kenneth J Smith | Internal Medicine | 8300 Constitution Ave. Ne, Presbyterian Oncology Kaseman Hospital, Albuquerque, NM 87110-7613 | 2005-08-30 |
| 1114920238 | Douglas A. Clark | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1790183135 | Lovelace Health System, LLC | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 | 2014-12-17 |
| 1235579632 | Gautam Kishore Valecha | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2013-06-28 |
| 1326393380 | Neda Hashemi Sadraei | Internal Medicine | 1 University of New Mexico, Albuquerque, NM 87131 | 2012-07-16 |
| 1184980989 | Paul Allen Brittain | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102 | 2012-04-05 |
| 1972824084 | Emrullah Yilmaz | Internal Medicine | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2010-06-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on DR. YUBAO 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.