DR. PAUL WANG (NPI# 1508839481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508839481 |
| Entity Type | Individual |
| Full Name | DR. PAUL WANG |
| Credential | MD |
| Practice Address |
104 W 18th Ave Coal Valley IL 61240-9337 |
| Practice Telephone | 3097997518 |
| Practice Fax Number | 3097993886 |
| Mailing Telephone | 3097997518 |
| Mailing Fax Number | 3097993886 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036092209 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | JOHN DEERE NUMBER | 4255D7 | 01 |
| IL | IHS | 143603 | 01 |
| IL | BLUE CROSS WELLMARK | 91488 | 01 |
| IL | 1508839481 | 05 | |
| IL | HEALTH ALLIANCE | 60636 | 01 |
| IL | PHCS | 2263301 | 01 |
| RR MEDICARE | 80096082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053492389 | Paul Wang | Physical Medicine & Rehabilitation | 6501 E Greenway Pkwy Ste 103, Pmb #158, Scottsdale, AZ 85254-2070 | 2006-10-17 |
| 1861416232 | Paul Wang | Pediatrics | 4705 Engle Rd, Suite# 3, Carmichael, CA 95608-2223 | 2006-07-27 |
| 1396769295 | Paul H. Wang | Psychologist | 225 S Meramec Ave Ste 506, St. Louis, Saint Louis, MO 63105-3596 | 2006-07-26 |
| 1720003940 | Paul X Wang | Internal Medicine | 235 Prospect Ave, Suite Ld, Hackensack, NJ 07601-2510 | 2006-07-12 |
| 1649751165 | Paul Wang | Respiratory Therapist, Registered | 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 | 2018-08-23 |
| 1598065351 | Paul Wang | Pharmacist | 200 Fairmont Shopping Ctr, Pacifica, CA 94044-1240 | 2010-10-27 |
| 1659575207 | Paul I-chun Wang | Dentist | 115 Berkeley Sq, Berkeley, CA 94704-1206 | 2007-06-14 |
| 1265595714 | Paul Howyue Wang | Physical Therapist | 321 N Kuakini St, Pacific Sports Rehab, LLC Suite 801, Honolulu, HI 96817-2364 | 2006-12-18 |
| 1750475695 | Paul W Wang | Dermatology | 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 | 2006-10-03 |
| 1245342708 | Paul Wang | Specialist | 300 Pasteur Drive, H 2146, Stanford, CA 94305-5233 | 2006-08-31 |
| Street Address |
104 W 18TH AVE |
| City | COAL VALLEY |
| State | IL |
| Zip Code | 61240-9337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142458 | Cynthia Rowley-sullivan | Physician Assistant | 104 W 18th Ave, Coal Valley, IL 61240-9337 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962713495 | Coal Valley Fire Protection District | Ambulance | 103 W 18th Ave, Coal Valley, IL 61240 | 2010-06-30 |
| 1831354364 | Karen Ann Dhanens | Occupational Therapist | 1108 East 4th Street, Coal Valley, IL 61240 | 2008-07-24 |
| 1972667111 | Margarida R Laub | Dentist | 205 West First Avenue, Caol Valley, IL 61240 | 2006-12-21 |
| 1922059047 | Emil George Anthony | Contractor | 120 W 14th St, Coal Valley, IL 61240-8811 | 2006-05-13 |
| 1659528503 | Shellene Suzanne Fischer | Occupational Therapist | 507 E 13th Avenue Ct, Coal Valley, IL 61240-9128 | 2008-08-22 |
| 1730157322 | William C Mccabe | Personal Emergency Response Attendant | 1702 E 6th St, Coal Valley, IL 61240-9145 | 2006-03-09 |
| 1578542304 | Yogin J. Parikh | Specialist | 4 Sawgrass Dr, Coal Valley, IL 61240-9148 | 2006-01-11 |
| 1427573633 | Elizabeth S Heisler | Speech-Language Pathologist | 307 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2017-08-09 |
| 1851370993 | Rodney Clifford Howell | Nurse Practitioner | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2006-01-16 |
| 1144419078 | Progressive Home Wound Care, Inc | Home Health | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2007-10-16 |
| Find all providers in zip 61240 | ||||
| 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 |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | COAL VALLEY |
| Zip Code | 61240 |
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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.