PENNSON WANG (NPI# 1205368081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205368081 |
| Entity Type | Individual |
| Full Name | PENNSON WANG |
| Credential | M.D. |
| Practice Address |
1308 Tuscaloosa Ave Sw Birmingham AL 35211-1948 |
| Mailing Address |
405 Belcher St Centreville AL 35042-2946 |
| Practice Telephone | 2056796325 |
| Practice Fax Number | 2057838600 |
| Mailing Telephone | 2059262992 |
| Mailing Fax Number | 2053167675 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD37779 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MD.37779 | AL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4095 American Way, Suite 1, Memphis, TN 381188339 | 9012719400 |
| Street Address |
1308 TUSCALOOSA AVE SW |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703603 | Vera Danette Guevara-egorshin | Pediatrics | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2006-01-04 |
| 1477160927 | Kimberly Ford | Nurse Practitioner | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-09-29 |
| 1134749625 | Daniel Obadare Fijabi | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1841810348 | Christian Lopes | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1255951752 | Gavin Liu | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1447870951 | Sharon Jyoti George | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1700406212 | Megan Diane Ward | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1063032571 | Clara Formby | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1275153736 | Noureen Abbas | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1326680679 | Kinsey Page | Nurse Practitioner | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740590421 | American Pulmonary Medicine Institute | Internal Medicine | 1101 Barkley Lane, Birmingham, AL 35242-4671 | 2010-10-15 |
| 1346453446 | James Michael Wells | Internal Medicine | 1900 University Blvd Tht 422, Birmingham, AL 35294-1900 | 2007-05-07 |
| 1306866868 | Oksana Senyk | Internal Medicine | 2704 20th St S Ste 100, Birmingham, AL 35209-1924 | 2006-07-20 |
| 1548797566 | Stv Pulmonary Group LLC | Internal Medicine | 2660 10th Ave S Ste 528, Birmingham, AL 35205-1625 | 2017-05-22 |
| 1174878029 | Aline Nafez Zouk | Internal Medicine | 619 19th St S, Birmingham, AL 35249-2859 | 2012-07-17 |
| 1023375169 | David Cardy Lafon | Internal Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2012-04-13 |
| 1477843415 | Derek Wade Russell | Internal Medicine | 619 19th St S, Birmingham, AL 35249-2060 | 2011-04-11 |
| 1528385879 | Samuel Keener Mcelwee | Internal Medicine | 619 19th St S, Birmingham, AL 35249 | 2010-04-27 |
| 1548493182 | Ravi Paul Singh Virdi | Internal Medicine | 619 19th St S, Birmingham, AL 35249-5161 | 2009-08-31 |
| 1528214947 | Dhaval Raval | Internal Medicine | 619 19th St S, Birmingham, AL 35249-1157 | 2008-08-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on PENNSON 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.