ERIC X WANG (NPI# 1306802376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306802376 |
| Entity Type | Individual |
| Full Name | ERIC X WANG |
| Credential | M.D. |
| Practice Address |
4168 Holiday St Nw Canton OH 44718-2532 |
| Practice Telephone | 3304541693 |
| Practice Fax Number | 3304541683 |
| Mailing Telephone | 3304541693 |
| Mailing Fax Number | 3304541683 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35-07-4148W | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000329691 | 01 |
| OH | 2075187 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235799289 | Eric David Wang | Optometrist | 221 N Preston Rd Ste B, Prosper, TX 75078-8607 | 2019-06-20 |
| 1194066597 | Eric Wang | Pharmacist | 3117 Route 9, Old Bridge, NJ 08857-2690 | 2013-03-09 |
| 1831728120 | Eric Kevin Wang | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-04-07 |
| 1306489612 | Eric Wang | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2019-10-21 |
| 1083143820 | Eric Xue Song Wang | Emergency Medicine | 5841 S Maryland Ave # Mc5068, Chicago, IL 60637-1447 | 2017-06-06 |
| 1821483371 | Eric Wang | Anesthesiology | 1800 Orleans St, Bloomberg 6220, Baltimore, MD 21287-0010 | 2015-04-01 |
| 1073931598 | Eric Timothy Wang | Internal Medicine | 5200 Dtc Pkwy Ste 400, Greenwood Village, CO 80111-2719 | 2014-04-01 |
| 1811262959 | Eric D Wang | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2012-03-21 |
| 1831471630 | Eric Wang | Pharmacist | 7800 Old Redwood Hwy, Cotati, CA 94931-5106 | 2011-09-16 |
| 1457647752 | Eric Xiaogu Wang | Dentist | 1417 W Oregon Ave, Philadelphia, PA 19145-4926 | 2011-06-24 |
| Street Address |
4168 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306166426 | Krishna P. Agarwala, M.d., Inc | Internal Medicine | 4168 Holiday St Nw, Canton, OH 44718-2532 | 2010-06-11 |
| 1932227899 | Canton Primary Care & Hospital Medicine, Inc.. | Specialist | 4168 Holiday St Nw, Canton, OH 44718-2532 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1326424805 | Vishnu Sai LLC | Internal Medicine | 6672 List St Nw, Canton, OH 44708-6419 | 2015-08-06 |
| 1619350501 | Ohio Pulmonary and Sleep Physicians LLC | Internal Medicine | 1445 Harrison Ave Nw Ste 101, Canton, OH 44708-2628 | 2015-07-09 |
| 1073932414 | Christina Powers | Internal Medicine | 470 Northside Cherokee Blvd, Ste 380, Canton, GA 30115-8015 | 2014-04-14 |
| 1083054902 | Umayr Azimi | Internal Medicine | 44237 Michigan Ave, Canton, MI 48188-2866 | 2013-06-25 |
| 1356699896 | John Anthony Ziolo | Internal Medicine | 141 Wedgewood Falls Dr, Canton, GA 30114-8928 | 2012-08-15 |
| 1437414018 | Wassim Chehouri | Internal Medicine | 1988 Elmhurst St, Canton, MI 48187-3119 | 2012-07-10 |
| 1790078624 | Jacklyn L Quade | Internal Medicine | 1051 N Canton Center Road, Canton, MI 48187-5097 | 2011-05-25 |
| 1679875892 | Sourabh Prabhakar | Internal Medicine | 2600 Sixth St Sw Ste A2-710, Canton, OH 44710-1702 | 2010-11-19 |
| 1033341060 | Zahoorul Hassan | Internal Medicine | 40592 Tamarack Dr, Apt#204, Canton, MI 48188-2828 | 2009-08-09 |
| Find all providers in CANTON | ||||
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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.