DR. JACOB WANG (NPI# 1487064663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487064663 |
| Entity Type | Individual |
| Full Name | DR. JACOB WANG |
| Credential | MD |
| Practice Address |
10 3rd Ave Ne Ste 200 Hickory NC 28601-5044 |
| Practice Telephone | 8283278105 |
| Practice Fax Number | 8283274245 |
| Mailing Telephone | 8283278105 |
| Mailing Fax Number | 8283274245 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2019-00099 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523537 | Jacob Wang | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2019-08-15 |
| Street Address |
10 3RD AVE NE STE 200 |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997402 | Terry C Wellman | Nurse Anesthetist, Certified Registered | 10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 | 2006-01-20 |
| 1477154607 | Jessica Brickers | Registered Nurse | 10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 | 2020-11-04 |
| 1073845343 | Wendy Hilton Lariscy | Nurse Anesthetist, Certified Registered | 10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902223811 | Unifour Anesthesia Associates, Pa | Anesthesiology | 250 18th Street Cir Se, Suite B, Hickory, NC 28602-1361 | 2014-03-28 |
| 1245678614 | Peter Charles Gerst | Anesthesiology | 415 N Center St Ste 201, Hickory, NC 28601-5036 | 2013-06-07 |
| 1326669508 | Western Carolina Sedation Associates, LLC | Anesthesiology | 415 N Center St Ste 300, Hickory, NC 28601-5036 | 2020-04-29 |
| 1386177509 | East Carolina Anesthesia Associates, Pllc | Anesthesiology | 250 18th Street Cir Se, Hickory, NC 28602-1361 | 2017-04-05 |
| 1750640157 | Zachary James Kimball | Anesthesiology | 415 N Center St, Ste 201, Hickory, NC 28601-5036 | 2012-05-07 |
| 1356577464 | Matthew Robert Johnson | Anesthesiology | 415 N Center St, Suite 201, Hickory, NC 28601-5057 | 2009-06-03 |
| 1134373962 | Dave Steven Eichman | Anesthesiology | 415 N Center St, Suite 201, Hickory, NC 28601-5057 | 2008-11-06 |
| 1427212778 | Joel Beachkofsky | Anesthesiology | 415 N Center St, Suite 201, Hickory, NC 28601-5036 | 2008-07-16 |
| 1265638183 | Corbin Dennis Harline | Anesthesiology | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2007-06-26 |
| 1427251297 | David Joshua Tunnell | Anesthesiology | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2007-06-07 |
| Find all providers in HICKORY | ||||
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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.