Gordon Wang (NPI# 1174517205, PAC ID# 1658331848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174517205 |
| PAC ID by PECOS | 1658331848 |
| Professional Enrollment ID | I20041012001445 |
| Full Name | Gordon Wang |
| Address |
809 E Marion Ave Punta Gorda FL 33950-3819 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| Address | Phone | Organization |
|---|---|---|
| 100 Madrid Blvd, Unit 513, Punta Gorda, FL 33950-8930 | ||
| 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
809 E MARION AVE |
| City | PUNTA GORDA |
| State | FL |
| Zip | 33950-3819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart N Greenberg | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Chandra R Parsley | Nurse Practitioner | Florida Em-i Medical Services, Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Lawrence R Bachle | Emergency Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Raymond J Perez | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Asif Kamal | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Sreeja Gopidasan | Nurse Practitioner | Harbor Medical Group LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Anthony Pollizzi | Anesthesiology | Peace River Anesthesiology Associates Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Carrie Ingram | Nurse Practitioner | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| James P Forensky | Anesthesiology | Peace River Anesthesiology Associates Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Gregory P Arthmann | Psychiatry | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd B Lang | Optometry | Todd B Lang Od Pa | 314 N Tamiami Tr, Suite 112, Punta Gorda, FL 33950 |
| Anne K Wharton | Nurse Practitioner | 450 Shreve St, Punta Gorda, FL 33950-3325 | |
| Joyce A Grace Leichliter | Chiropractic | 119 Taylor St, Punta Gorda, FL 33950-3654 | |
| Khaled A Temraz | Physical Therapy | 522 E Marion Ave, Punta Gorda, FL 33950-3803 | |
| Timothy A Janz | Internal Medicine | 522 E Marion Ave, Suite 201, Punta Gorda, FL 33950-3803 | |
| Kathleen M Auld | Physical Therapy | Kamipractics Inc | 522 E Marion Ave, Punta Gorda, FL 33950-3803 |
| Paul M Popper | Cardiovascular Disease (cardiology) | Paul M Popper Md Pa | 809 E Marion St, Punta Gorda, FL 33950-3819 |
| Girish D Patel | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Erin D Rose | Nurse Practitioner | Florida Em-i Medical Services, Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Glen H Brookshire | Emergency Medicine | Oceanwind Er Svcs Partnership LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Find all physicians in zip 33950 | |||
| City | PUNTA GORDA |
| Zip Code | 33950 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PUNTA GORDA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gordon Wang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.