WENJUN WANG SCOTT (NPI# 1144579525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144579525 |
| Entity Type | Individual |
| Full Name | WENJUN WANG SCOTT |
| Other Name | WENJUN WANG |
| Credential | AA |
| Practice Address |
410 S 11th St Lake Wales FL 33853-4203 |
| Mailing Address |
Po Box 2327 Lake Wales FL 33859-2327 |
| Practice Telephone | 8634020064 |
| Mailing Telephone | 8634020064 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA323 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | 2012030849 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
410 S 11TH ST |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33853-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350027 | Lake Wales Clinic Corp | Surgery | 410 S 11th St, Lake Wales, FL 33853-4203 | 2005-07-18 |
| 1811508476 | Marianne Dimetry | Pharmacist | 410 S 11th St, Lake Wales, FL 33853-4203 | 2020-08-16 |
| 1033770284 | Adventhealth Polk South Inc | Psychiatric Unit | 410 S 11th St, Lake Wales, FL 33853-4203 | 2019-06-27 |
| 1053972760 | Adventhealth Polk South Inc | Psychiatric Unit | 410 S 11th St, Lake Wales, FL 33853-4203 | 2019-06-24 |
| 1164902797 | Lake Wales Physician Services, LLC | Physician Assistant | 410 S 11th St, Lake Wales, FL 33853-4203 | 2018-08-14 |
| 1336689819 | Panchami Thomas | Nurse Practitioner | 410 S 11th St, Lake Wales, FL 33853-4203 | 2017-03-02 |
| 1992259477 | Dawn Michelle Shepard | Nurse Practitioner | 410 S 11th St, Lake Wales, FL 33853-4203 | 2016-08-12 |
| 1841696762 | Lake Wales Hospital Corporation | Psychiatric Unit | 410 S 11th St, Lake Wales, FL 33853-4203 | 2014-11-05 |
| 1003238684 | Matt Moraes | Anesthesiologist Assistant | 410 S 11th St, Lake Wales, FL 33853-4203 | 2014-01-15 |
| 1063859262 | Michael F Cunningham | Emergency Medicine | 410 S 11th St, Lake Wales, FL 33853-4203 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218998 | Marcel Fundora | Dentist | 701 Fl-60, Lake Wales, FL 33853 | 2020-06-04 |
| 1386291599 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1255 Florida 60, Suite 300, Lake Wales, FL 33853 | 2019-08-22 |
| 1932753472 | Adeline Brooke Warren | Occupational Therapist | 512 S 11th Street, Lake Wales, FL 33853 | 2019-08-01 |
| 1033563580 | Amber Y Shepard | Family Medicine | 1255 Highway 60 E Ste 500, Lake Wales, FL 33853 | 2016-04-21 |
| 1174982458 | Ledesha Marie Dorothy Maduro | Dentist | 24185 Us Hwy 27 North, Lake Wales, FL 33853 | 2016-02-16 |
| 1528402435 | Buck Andreu Scott | Surgery | 407 S 11th St, Lake Wales, FL 33853 | 2013-04-22 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1972864932 | Kevin T Barlow, Pa. Dba: Winter Haven Audiology and Ridge Audiology. | Clinic/Center | 704 Sr 60 East, Lake Wales, FL 33853 | 2012-06-06 |
| 1316266364 | Elba M Lopez | Massage Therapist | 318 S. First Street, Lake Wales, FL 33853 | 2010-05-28 |
| 1063657955 | Lake Wales Medical Imaging Center One, Inc | Technician, Health Information | 1255 Highway 60 East 110, Lake Wales, FL 33853 | 2008-12-08 |
| Find all providers in zip 33853 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238684 | Matt Moraes | Anesthesiologist Assistant | 410 S 11th St, Lake Wales, FL 33853-4203 | 2014-01-15 |
| 1306181276 | Randall E Johnson | Anesthesiologist Assistant | 410 S 11th St, Lake Wales, FL 33853-4203 | 2012-12-04 |
| 1548595259 | Prabin Thakuri | Anesthesiologist Assistant | 410 S 11th St, Lake Wales, FL 33853-4203 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761798 | Wayleniz Rosario Falero | Anesthesiologist Assistant | 331 Sw 19th Ln, Cape Coral, FL 33991-3784 | 2020-08-18 |
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1194372227 | Matthew Zachary Laribee | Anesthesiologist Assistant | 7900 N Kendall Dr, Miami, FL 33156-7457 | 2019-08-22 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1164910691 | Heather Berman | Anesthesiologist Assistant | 209 Bristol Ct, Tavernier, FL 33070-2838 | 2018-04-30 |
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33853 |
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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.