JUN WANG (NPI# 1457336539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457336539 |
| Entity Type | Individual |
| Full Name | JUN WANG |
| Credential | M.D. |
| Practice Address |
10351 Dawsons Creek Blvd Ste D Fort Wayne IN 46825-1904 |
| Mailing Address |
Po Box 11535 Fort Wayne IN 46859-1535 |
| Practice Telephone | 2609691950 |
| Practice Fax Number | 2609690989 |
| Mailing Telephone | 3175672180 |
| Mailing Fax Number | 3175672191 |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2008-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 01060887 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200850020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143631 | Jun Fang Wang | Dentist | 120 E Broadway, 4 Fl, New York, NY 10002-6374 | 2005-12-01 |
| 1780172734 | Jun Wang | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532 | 2018-04-25 |
| 1477925725 | Jun Wang | Pharmacist | 835 Park Ave, Bloomfield, CT 06002-2469 | 2015-10-27 |
| 1851705172 | Jun Wang | Pharmacist | 5560 Norbeck Rd, Rockville, MD 20853-2441 | 2014-06-13 |
| 1770747578 | Jun Wang | Dentist | 3010 Lbj Fwy Ste 200, Dallas, TX 75234-2723 | 2008-07-11 |
| 1831367044 | Jun Wang | Acupuncturist | 14795 Jeffrey Rd Ste 103, Irvine, CA 92618-0417 | 2008-02-11 |
| 1205057742 | Jun Wang | Pathology | 134 Homer Ave, Cortland, NY 13045 | 2007-05-01 |
| 1578586301 | Jun Wang | Pathology | 11370 Anderson St, Ste 2960, Loma Linda, CA 92354-3450 | 2006-07-25 |
| Street Address |
10351 DAWSONS CREEK BLVD STE D |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326330473 | Gloria D Whitcraft | Marriage & Family Therapist | 10351 Dawsons Creek Blvd, Bldg 11, Fort Wayne, IN 46825-1904 | 2011-05-09 |
| 1588991939 | Dupont Physical Therapy Inc | Occupational Therapist | 10351 Dawsons Creek Blvd, Suite H, Fort Wayne, IN 46825-1904 | 2009-11-05 |
| 1053327874 | Jcb Anesthesia & Pain Management, PC | Anesthesiology | 10351 Dawsons Creek Blvd, Suite C, Fort Wayne, IN 46825-1904 | 2006-08-01 |
| 1306869482 | Julie Yia Pei Chao | Anesthesiology | 10351 Dawsons Creek Blvd, Suite C, Fort Wayne, IN 46825-1904 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265858765 | James Edward Luckey | Anesthesiology | 4701 Covington Rd, Suite 18, Fort Wayne, IN 46804-5072 | 2014-03-09 |
| 1811324411 | Willliam Richard Hall | Anesthesiology | 8721 Fortuna Way, Fort Wayne, IN 46815-5724 | 2013-09-27 |
| 1760542468 | Three Rivers Anesthesia, LLC | Anesthesiology | 7956 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2006-12-11 |
| 1588746838 | Andrea Waingold | Anesthesiology | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | 2006-10-19 |
| 1487755534 | Kathryn Carboneau | Anesthesiology | 11115 Pine Bank Ct, Fort Wayne, IN 46845-1839 | 2006-09-25 |
| 1497788848 | Il-sung Kwak | Anesthesiology | 2222 Timberbrook Trl, Fort Wayne, IN 46845-9530 | 2006-07-09 |
| 1760427686 | Andrzej S. Waskiel | Anesthesiology | 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 | 2006-06-17 |
| 1992745806 | Muhammod Ahmad | Anesthesiology | 1942 E Dupont Rd Ste A, Fort Wayne, IN 46825-1582 | 2006-06-08 |
| 1346212487 | Glenn Batiller | Anesthesiology | 11518 Tillbury Cv, Fort Wayne, IN 46845-2138 | 2006-02-03 |
| 1457359598 | Susan A Nasri | Anesthesiology | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2005-07-12 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.