DR. PETER S WANG (NPI# 1114128204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114128204 |
| Entity Type | Individual |
| Full Name | DR. PETER S WANG |
| Credential | MD |
| Practice Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
| Mailing Address |
101 E Olney Ave Suite 400 Philadelphia PA 19120-2421 |
| Practice Telephone | 2154567890 |
| Mailing Telephone | 2154567000 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
MD442315 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1568085470 | Peter Wang | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-05-26 |
| 1437712882 | Peter Wang | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-04-20 |
| 1699020628 | Peter Wang | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2012-07-16 |
| 1174894315 | Peter Wang | Counselor | 1814 Franklin St, Suite 400, Oakland, CA 94612-3487 | 2012-01-19 |
| 1760490163 | Peter K Wang | Obstetrics & Gynecology | 12555 Garden Grove Blvd, #306, Garden Grove, CA 92843 | 2006-08-03 |
| 1215950316 | Peter Chi-tung Wang | Pediatrics | 50 S San Mateo Dr, Suite 180, San Mateo, CA 94401-3857 | 2006-07-26 |
| 1982656930 | Peter T.h. Wang | Surgery | 4499 Medical Dr, Suite 347, San Antonio, TX 78229-3735 | 2006-05-17 |
| 1063475242 | Peter C Wang | Surgery | 510 Superior Ave, Ste. 200-g, Newport Beach, CA 92663-3663 | 2006-04-10 |
| 1215998620 | Peter Wang | Anesthesiology | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2006-03-28 |
| Street Address |
5501 OLD YORK RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962331 | Sean Janzer | Internal Medicine | 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 | 2005-06-17 |
| 1740897594 | Tajmia G Mcintosh | Nurse Practitioner | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-25 |
| 1104433200 | Juan Pablo Solano Romero | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-23 |
| 1205442233 | Rasha Elrefai | Pediatrics | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-15 |
| 1124633847 | Maria Carolina Musri | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-10 |
| 1295345916 | Bakhtawer Siraj | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-08-06 |
| 1699383091 | Sreenagavishnuvardha Motupalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-21 |
| 1750909222 | Raja Srinivas Boddepalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-10 |
| 1306463518 | Atif Iftikhar Nehvi | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-03 |
| 1821615345 | Paulina Henriquez Rojas | Psychiatry & Neurology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088074 | Savvas Andronikou | Radiology | 3401 Civic Center Blvd Dept 3nw41, Philadelphia, PA 19104-4319 | 2019-02-05 |
| 1629411194 | Gary Andrew Dellacerra | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107 | 2013-04-15 |
| 1194836221 | Amy K Lansman | Radiology | 1919 Walnut St, Philadelphia, PA 19103-4609 | 2006-08-31 |
| 1245294156 | Bsi Acquisition, Lp | Radiology | 221 N Broad St, Suite 101, Philadelphia, PA 19107-1511 | 2006-04-17 |
| 1982181996 | Alessandra Albini | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107 | 2018-07-23 |
| 1922591015 | Jehan Ghany | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2018-06-13 |
| 1659894145 | Orna Komisar | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2017-07-17 |
| 1164898045 | Ajit Karambelkar | Radiology | 132 S 10th St, Philadelphia, PA 19107 | 2015-08-14 |
| 1497195978 | Leann Michelle Kania | Radiology | 5501 Old York Rd, Albert Einstein Medical Center, Philadelphia, PA 19141-3018 | 2013-06-28 |
| 1164866471 | Brandon John Bachert | Radiology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2013-04-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on DR. PETER S WANG.
| 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.