JIM C. WANG (NPI# 1457428674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457428674 |
| Entity Type | Individual |
| Full Name | JIM C. WANG |
| Credential | MD |
| Practice Address |
1 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
393 E Walnut St Phr Group Provider Enrollment 3rd Fl Pasadena CA 91188-0001 |
| Practice Telephone | 3045984820 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 8776080044 |
| Mailing Fax Number | 8775140903 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A79074 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810009324 | 05 | |
| WV | RAILROAD MEDICARE | P00416436 | 01 |
| CA | 00A790740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720334873 | Jim Wang | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1558646794 | Jim Wang | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-10-19 |
| 1962614388 | Jim Wang | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2007-05-06 |
| Street Address |
1 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1114270105 | Tiffany D Lannan | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2012-10-16 |
| 1730438078 | Amanda Kessler | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506 | 2012-08-31 |
| 1205195971 | Hilary Elaine Morley | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-15 |
| 1780943977 | Wvu Hospitals | Student in an Organized Health Care Education/Training Program | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-09 |
| 1770852519 | Stephanie A Olcese | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2011-12-23 |
| 1578846762 | Stephania Amanda Acord | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506-7911 | 2011-09-23 |
| 1831471424 | Terri Lynn Marcischak | Registered Nurse | 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 | 2011-09-09 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871971895 | Sumeet Gupta | Ophthalmology | 1 Medical Center Dr # 9193, Morgantown, WV 26506-1200 | 2015-05-11 |
| 1891770525 | Nabil M. Jabbour | Ophthalmology | 3120 Collins Ferry Rd, Morgantown, WV 26505-3305 | 2005-12-15 |
| 1346248127 | Vadrevu K Raju | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2005-07-14 |
| 1780115493 | Beau Froebel | Ophthalmology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-03-23 |
| 1134583164 | Lauren Victoria Gioia | Ophthalmology | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-04-06 |
| 1053793182 | Nicole Marie Pumariega | Ophthalmology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2015-06-25 |
| 1366731994 | Brian Mcmillan | Ophthalmology | 1 Medical Center Drive, Morgantown, WV 26506 | 2011-04-05 |
| 1285948836 | Lauren Renee Digiovine | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2010-08-05 |
| 1659692390 | Lingo Y. Lai | Ophthalmology | 1 Medical Center Drive, Morgantown, WV 26505 | 2010-06-17 |
| 1386964104 | Laura Anne Gadzala | Ophthalmology | 1 Medical Center Drive, Box 9193, Morgantown, WV 26506 | 2010-06-03 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on JIM C. 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.