ANDREW WANG (NPI# 1336566561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336566561 |
| Entity Type | Individual |
| Full Name | ANDREW WANG |
| Credential | D.O. |
| Practice Address |
1019 Keith Dr Ste A Perry GA 31069-4952 |
| Mailing Address |
1601 Watson Blvd Warner Robins GA 31093-3431 |
| Practice Telephone | 4782181801 |
| Practice Fax Number | 4782181808 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 079256 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003167609B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1118 Hwy 96 W, Suite 1, Kathleen, GA 310472111 | 4789756890 | |
| 1601 Watson Blvd, Warner Robins, GA 310933431 | 4789224281 | |
| 233 N Houston Rd Ste 140a, Warner Robins, GA 310933023 | 4789232843 | |
| 2510 Hwy 127, Kathleen, GA 310472828 | 4789756800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790904290 | Andrew J Wang | Dentist | 3612 Lincoln Hwy Ste 18, Olympia Fields, IL 60461-1637 | 2007-04-24 |
| 1265487524 | Andrew Chun-lih Wang | Psychiatry & Neurology | 4955 Van Nuys Blvd Ste 604, Sherman Oaks, CA 91403-1818 | 2006-05-24 |
| 1053838185 | Andrew Lawrence Wang | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-08-29 |
| 1083146286 | Andrew Wang | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Fl 6, Evms Department of Surgery, Norfolk, VA 23507-1914 | 2017-03-28 |
| 1285098376 | Andrew Wang | Pediatrics | 4900 Mueller Blvd, Suite 3s.066c, Austin, TX 78723-3079 | 2016-04-05 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| 1720427149 | Andrew S Wang | Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2013-06-19 |
| 1841533643 | Andrew Wang | Anesthesiology | 600 N Wolfe Street, Phipps 455, Baltimore, MD 21287-0005 | 2013-03-29 |
| 1366782930 | Andrew Wilson Wang | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2013-02-19 |
| 1932499084 | Andrew Wang | Internal Medicine | 6 Devine St, North Haven, CT 06473-2195 | 2011-04-11 |
| Street Address |
1019 KEITH DR STE A |
| City | PERRY |
| State | GA |
| Zip Code | 31069-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598279200 | Houston Primary Care Physicians LLC | Family Medicine | 1019 Keith Dr Ste A, Perry, GA 31069 | 2017-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1457485690 | Jody S Velie | Family Medicine | 1025 Keith Dr, Perry, GA 31069-2948 | 2007-03-16 |
| 1255405866 | James Gilbert Morgan | Family Medicine | 3809 W Lansing Rd, Perry, MI 48872 | 2006-11-17 |
| 1972688158 | Physician's Medical Clinic | Family Medicine | 1412 Fir St, Perry, OK 73077-5036 | 2006-10-26 |
| 1063520260 | Perry Family Practice | Family Medicine | 505 14th St, Perry, OK 73077 | 2006-08-28 |
| 1952312365 | Perry Family Medical Associates, PC | Family Medicine | 938 Carroll St, Perry, GA 31069-3314 | 2006-08-10 |
| 1255340246 | Ssm Audrain Health Care, Inc. | Family Medicine | 1223 Main Street, Perry, MO 63462 | 2006-08-07 |
| 1922043215 | Donna M Schippers | Family Medicine | 616 S Jefferson St, Perry, FL 32347-4115 | 2006-06-19 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| Find all providers in PERRY | ||||
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| 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.