SHUJU WANG (NPI# 1801832696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801832696 |
| Entity Type | Individual |
| Full Name | SHUJU WANG |
| Practice Address |
26811 Ryan Rd Warren MI 48091-4075 |
| Practice Telephone | 5867554433 |
| Practice Fax Number | 5867556655 |
| Mailing Telephone | 5867554433 |
| Mailing Fax Number | 5867556655 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003538 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26811 RYAN RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780639955 | Comprehensive Geriatric Services Inc PC | Psychologist | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-05-24 |
| 1639399090 | Anne Patricia Graff | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2007-04-26 |
| 1760588974 | Rita H Mcnally | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-09-15 |
| 1073558029 | Daniel Devries | Psychiatry & Neurology | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-16 |
| 1881639847 | Patricia Sperry | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-16 |
| 1255375846 | Roberta Walden | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-15 |
| 1689618092 | Arthur J Lewandowski | Psychologist | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-15 |
| 1689618076 | Robert Lacoste | Psychiatry & Neurology | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-15 |
| 1770523565 | Robeert Kelly | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-08 |
| 1730129529 | Ann Marie Mentz | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481476 | Samantha Reidt | Physician Assistant | 30957 Lorraine Ave, Warren, MI 48093-8014 | 2014-10-08 |
| 1063796837 | Charmaine Scott | Physician Assistant | 436 Commerce Ave Nw, Warren, OH 44485-2501 | 2011-09-28 |
| 1235325226 | Kaiser Medical Center PC | Physician Assistant | 11670 Martin Rd, Warren, MI 48093-4511 | 2007-09-24 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1093885204 | Christopher P Czata | Physician Assistant | 27560 Hoover, Warren, MI 48093-3400 | 2006-11-08 |
| 1447331459 | Michelle Elizabeth Cruz | Physician Assistant | 2104 E 11 Mile Rd Ste 600, Warren, MI 48091-6123 | 2006-10-17 |
| 1003416165 | Alexis Rose Vavala | Physician Assistant | 1885 Market St, Warren, PA 16365-1277 | 2020-10-28 |
| 1538628607 | Caleb Markusic | Physician Assistant | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2019-03-18 |
| 1245758739 | Haley Hani Matty | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089 | 2017-09-05 |
| 1235598194 | Noor Zora | Physician Assistant | 29703 Hoover Rd, Warren, MI 48093-8901 | 2016-02-19 |
| Find all providers in WARREN | ||||
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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.