EMMA C WANG (NPI# 1982647434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982647434 |
| Entity Type | Individual |
| Full Name | EMMA C WANG |
| Credential | DO |
| Practice Address |
3006 Lincolnway E Mishawaka IN 46544-3501 |
| Practice Telephone | 5742527133 |
| Practice Fax Number | 8443612090 |
| Mailing Telephone | 5742527133 |
| Mailing Fax Number | 8443612090 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 02001493 | IN | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
002001493 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300037230 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407306152 | Emma Mingzhu Wang | Registered Nurse | 136-26 37th Avenue, Cbwchc, Flushing, NY 11354-3746 | 2016-10-06 |
| Street Address |
3006 LINCOLNWAY E |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189518 | Monica Renee Cerlesi | Counselor | 3006 Lincolnway E, Mishawaka, IN 46544-3501 | 2020-09-16 |
| 1366061350 | Madeline Mcgaw Smous | Counselor | 3006 Lincolnway E, Mishawaka, IN 46544-3501 | 2020-04-10 |
| 1053955625 | Andrew Ray Griffith | Counselor | 3006 Lincolnway E, Mishawaka, IN 46544-3501 | 2019-11-06 |
| 1457896896 | Ahi Medical Addictions Clinic, LLC | Counselor | 3006 Lincolnway E, Mishawaka, IN 46544-3501 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1467824698 | Acorn Addiction Centers, LLC | Family Medicine | 1201 N Post Rd Ste 4, Indianapolis, IN 46219-4225 | 2015-10-27 |
| 1134306947 | Gerald Paul Myers | Family Medicine | 3 Park Row, Michigan City, IN 46360 | 2008-01-23 |
| 1043383680 | The Kolbe Center | Family Medicine | 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 | 2006-11-15 |
| 1336211481 | Midwest Integrated Health Systems, P.C. | Family Medicine | 3300 W 15th Ave, Gary, IN 46404-1963 | 2006-11-14 |
| 1235209156 | Elmo Allen Griggs | Family Medicine | 2811 Washington Ave, Bedford, IN 47421-5310 | 2006-11-08 |
| 1194719757 | Lawrence Hastings Schoch | Family Medicine | 2580 Michigan Rd, Suite 2, Madison, IN 47250-2491 | 2005-09-09 |
| 1609340983 | Nwi Behavioral & Addiction Medicine LLC | Family Medicine | 7805 Taft St, Merrillville, IN 46410-5233 | 2019-01-19 |
| 1134690258 | Serenity Primary Care & Recovery LLC | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2018-12-16 |
| 1215411020 | Stellhorn Wellness, LLC | Family Medicine | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
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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.