LAWRENCE C WANG (NPI# 1013086859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013086859 |
| Entity Type | Individual |
| Full Name | LAWRENCE C WANG |
| Credential | MD |
| Practice Address |
401 Sw Water St 1824 Peoria IL 61602-1571 |
| Mailing Address |
1126 S 70th St N500 Milwaukee WI 53214-3151 |
| Practice Telephone | 3094949320 |
| Mailing Telephone | 4144554780 |
| Mailing Fax Number | 4144752936 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-104660 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538359963 | Lawrence Y Wang | Dentist | 330 E 75th St, Apt#12h, New York, NY 10021-3082 | 2007-08-01 |
| 1548326168 | Lawrence Wang | Optometrist | 7090 N Durango Dr, Ste 110, Las Vegas, NV 89149-4494 | 2006-12-28 |
| 1700994423 | Lawrence C Wang | Psychiatry & Neurology | 3245 International Cir Ste 103, Colorado Springs, CO 80910-3152 | 2006-08-25 |
| 1891713004 | Lawrence Wang | Physical Medicine & Rehabilitation | 18141 Beach Blvd Ste 100, Huntington Beach, CA 92648-1354 | 2006-07-17 |
| 1922004704 | Lawrence P Wang | Internal Medicine | 614 Wooster Pike Ste 7, Terrace Park, OH 45174-1061 | 2005-06-25 |
| 1891273587 | Lawrence Letian Wang | Dentist | 9900 Lincoln Street 2nd Floor, Us Army Dentac, Jblm, WA 98431 | 2018-08-03 |
| 1013440965 | Lawrence Wang | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960 | 2017-04-07 |
| 1578954780 | Lawrence Wang | Dentist | 10045 Baltimore National Pike, Suite 1 A, Ellicott City, MD 21042-3673 | 2015-02-10 |
| 1003950494 | Lawrence Pei-wen Wang | Optometrist | 16735 Se 272nd St, Suite C, Covington, WA 98042-4942 | 2007-02-18 |
| 1376568980 | Lawrence L Wang | Dermatology | 10004 Kennerly Rd, #375-b, St. Louis, MO 63128-2190 | 2006-07-13 |
| Street Address |
401 SW WATER ST 1824 |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275543456 | Kim V. Arellano-villarreal | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2006-08-09 |
| 1659404325 | Mary Pham | Radiology | 401 Sw Water St, Suite 507, Peoria, IL 61602-1571 | 2007-03-13 |
| 1063545739 | Robert T Bockel | Radiology | 401 Sw Water St, Suite 507, Peoria, IL 61602-1571 | 2007-03-13 |
| 1225185630 | Robert W Schmidt | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2007-01-05 |
| 1316016827 | David L Porter | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2006-11-07 |
| 1518046390 | Gerald Dixon | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2006-11-03 |
| 1639258619 | Jessica A Guingrich | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2006-11-02 |
| 1134227804 | Sean Meagher | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1932490075 | Christine Ann Wigginton | Radiology | 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 | 2011-04-24 |
| 1932421591 | Smi Imaging, LLC | Radiology | 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 | 2010-02-24 |
| 1972736163 | Smi Imaging, LLC | Radiology | 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 | 2009-09-03 |
| 1184828360 | Jane Ho Maksimovic | Radiology | 2612 W Newman Pkwy, Peoria, IL 61604-2208 | 2007-06-12 |
| 1124030705 | Terry M Brady | Radiology | 411 Hamilton Blvd, 1824, Peoria, IL 61602-1144 | 2006-08-12 |
| 1275543456 | Kim V. Arellano-villarreal | Radiology | 401 Sw Water St, Peoria, IL 61602-1571 | 2006-08-09 |
| 1386659241 | Central Illinois Radiological Associates, Ltd. | Radiology | Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 | 2006-07-29 |
| 1538192828 | Central Illinois Radiological Associates, Ltd. | Radiology | 530 Ne Glen Oak Avenue, Peoria, IL 61637 | 2006-07-09 |
| 1265469399 | Brian A Holtan | Radiology | 31003 N 118th Ln, Peoria, AZ 85383-8240 | 2006-06-26 |
| Find all providers in PEORIA | ||||
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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.