DR. GORDON K WANG (NPI# 1174517205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174517205 |
| Entity Type | Individual |
| Full Name | DR. GORDON K WANG |
| Credential | MD |
| Practice Address |
100 Madrid Blvd 513 Punta Gorda FL 33950-7968 |
| Practice Telephone | 9415050974 |
| Practice Fax Number | 9416379000 |
| Mailing Telephone | 9415050974 |
| Mailing Fax Number | 9416379000 |
| Enumeration Date | 2005-09-05 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME0072508 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 44390 | 01 |
| FL | 266939100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750624458 | Gordon Wang | Dentist | 7516 169th St, Fresh Meadows, NY 11366-1338 | 2013-04-01 |
| 1972525194 | Gordon G Wang | Pathology | 2010 Church St Ste 420, Nashville, TN 37203-2037 | 2006-07-24 |
| Street Address |
100 MADRID BLVD 513 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-7968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020969 | Marilyn Kay Larkin | Audiologist | 100 Madrid Blvd, Ste 315, Punta Gorda, FL 33950-7968 | 2005-08-18 |
| 1164739421 | Burnt Store Family Medicine P L | Family Medicine | 100 Madrid Blvd, Suite 513, Punta Gorda, FL 33950-7968 | 2010-09-08 |
| 1699929950 | Jeremy Kyle Martin | Dentist | 100 Madrid Blvd, Ste 414, Punta Gorda, FL 33950-7968 | 2008-11-12 |
| 1700079589 | Thomas Noone Md Pa | Family Medicine | 100 Madrid Blvd, Suite 113, Punta Gorda, FL 33950-7968 | 2007-08-24 |
| 1447461819 | Therapeutic Wellness Center | Massage Therapist | 100 Madrid Blvd, Suite 411, Punta Gorda, FL 33950-7968 | 2007-05-25 |
| 1770792947 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 100 Madrid Blvd, Unit 112, Punta Gorda, FL 33950-7968 | 2007-05-22 |
| 1427263334 | Harbor Audiology, P.a. | Hearing Aid Equipment | 100 Madrid Blvd, Suite 214, Punta Gorda, FL 33950 | 2007-05-14 |
| 1871516849 | Edward S Bender Dc,pa | Chiropractor | 100 Madrid Blvd, Suite 311, Punta Gorda, FL 33950-7968 | 2006-07-25 |
| 1073531992 | Ricardo Arthur Gauthier | Audiologist | 100 Madrid Blvd, Suite 214, Punta Gorda, FL 33950 | 2006-07-18 |
| 1447297031 | Edward Swanton Bender | Chiropractor | 100 Madrid Blvd, Suite 311, Punta Gorda, FL 33950-7968 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1861995789 | Katie A Mccloud | Family Medicine | 25097 Olympia Ave Ste 200, Punta Gorda, FL 33950-3914 | 2018-03-16 |
| 1548772650 | Elena Herschdorfer Rodriguez | Family Medicine | 713 E Marion Ave Ste 131, Punta Gorda, FL 33950-3868 | 2017-10-30 |
| 1609059153 | Abigail Hobbs Faerber | Family Medicine | 2411 Sierra Ln, Punta Gorda, FL 33950-5016 | 2007-12-06 |
| 1043348154 | Keith Martin Rubin | Family Medicine | 25097 Olympia Ave Ste 203, Punta Gorda, FL 33950-3914 | 2007-03-01 |
| 1811035314 | Emil A. Dameff | Family Medicine | 3162 Willow Rd, Punta Gorda, FL 33982-3316 | 2007-02-05 |
| 1174669246 | Jorge L. Cabrera | Family Medicine | 25098 Olympia Ave, Suite 400, Punta Gorda, FL 33950-3938 | 2007-01-29 |
| 1205990959 | Justin Garland Thomas | Family Medicine | 3928 Crooked Island Dr, Punta Gorda, FL 33950-8128 | 2006-12-20 |
| 1134133192 | Estuardo E. Aroca | Family Medicine | 25098 Olympia Ave Unit 400, Punta Gorda, FL 33950-3938 | 2006-07-27 |
| 1346261377 | Samuel Viloria Estepa | Family Medicine | 713 E Marion Ave, Ste 141, Punta Gorda, FL 33950-3863 | 2006-07-23 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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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.