DR. EUGENE WANG (NPI# 1912223108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912223108 |
Entity Type | Individual |
Full Name | DR. EUGENE WANG |
Credential | MD |
Practice Address |
1865 Lime St Suite 101 Fernandina Beach FL 32034-4779 |
Practice Telephone | 9043212422 |
Enumeration Date | 2010-04-13 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
ME124386 | FL | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME124386 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 015645000 | 05 | |
GA | 003182568A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
309 Arnow Dr, Saint Marys, GA 315583176 | 9124393500 | 9124393528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013351865 | Eugene Wang | Student in an Organized Health Care Education/Training Program | 37038 Reynolds Cmn, Fremont, CA 94536-1955 | 2013-04-24 |
1326218348 | Eugene Wang | Optometrist | 6950 Friars Rd, Suite 100, San Diego, CA 92108-5107 | 2008-03-05 |
1922063908 | Eugene P. Wang | Physical Medicine & Rehabilitation | 2375 Summit Park Dr, Petoskey, MI 49770-8685 | 2006-04-20 |
1053768739 | Eugene Y Wang | Family Medicine | 2225 Freedom Dr, Charlotte, NC 28208 | 2016-05-23 |
1437192663 | Eugene Wang | Specialist | 677 Ala Moana Blvd, Suite 1025, Honolulu, HI 96813-5419 | 2006-06-14 |
Street Address |
1865 LIME ST SUITE 101 |
City | FERNANDINA BEACH |
State | FL |
Zip Code | 32034-4779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811057318 | Timothy D Lucey | Psychiatry & Neurology | 1865 Lime St, Suite 103, Fernandina Beach, FL 32034-4779 | 2006-12-12 |
1265861595 | Ida Brown | Counselor | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 | 2013-11-07 |
1649584079 | Physicians Group Services Pa | Family Medicine | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4744 | 2010-07-27 |
1477719656 | Timothy Lucey Do Pllc | Psychiatry & Neurology | 1865 Lime St, Suite 103, Fernandina Beach, FL 32034-4779 | 2008-08-06 |
1619180411 | Carly J Miller | Psychiatry & Neurology | 1865 Lime St, Suite 100, Fernandina Beach, FL 32034-4744 | 2007-05-08 |
1750400792 | Alan Edward Miller | Physical Medicine & Rehabilitation | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4744 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
Find all providers in zip 32034 |
Taxonomy Code | 2084P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Pain Medicine |
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
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1124637046 | Dr. Yu for You LLC | Psychiatry & Neurology | 8927 Sw 76th Ave, Gainesville, FL 32608-8751 | 2020-07-27 |
1033358619 | Jeffrey Friedlander Inc | Psychiatry & Neurology | 1525 E Amelia St, Orlando, FL 32803-5406 | 2009-02-05 |
1861680407 | Robert J. Friedman,m.d.,p.a. | Psychiatry & Neurology | 1015 W Indiantown Rd, Suite 202, Jupiter, FL 33458-6839 | 2007-10-09 |
1497879373 | Neurological Associates | Psychiatry & Neurology | 4265 5th Pl, Vero Beach, FL 32968-1961 | 2007-03-18 |
1043320021 | Raymond Iglecia - Fernandez | Psychiatry & Neurology | 2440 Hooks St, Clermont, FL 34711-3514 | 2006-08-30 |
1558399287 | Pain Management and Interventional Nerve Block Speciatlists LLC | Psychiatry & Neurology | 2401 Frist Blvd Ste 7, Fort Pierce, FL 34950-4800 | 2006-06-29 |
1265491781 | Hector J Cases | Psychiatry & Neurology | 725 Cortaro Dr, Sun City Center, FL 33573-6812 | 2006-03-22 |
1811502594 | Fujii Innovative Therapeutics | Psychiatry & Neurology | 1001 N Macdill Ave, Tampa, FL 33607-5152 | 2020-09-10 |
1497373419 | Neuropathic Pain Management LLC | Psychiatry & Neurology | 201 Hilda St Ste 33, Kissimmee, FL 34741-2359 | 2020-07-07 |
1841811163 | Aroramd LLC | Psychiatry & Neurology | 1811 S Orlando Ave Ste A, Cocoa Beach, FL 32931-2340 | 2020-04-27 |
Find all providers with the same taxonomy |
City | FERNANDINA BEACH |
Zip Code | 32034 |
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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.