TOM D. WANG (NPI# 1497763932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497763932 |
| Entity Type | Individual |
| Full Name | TOM D. WANG |
| Credential | MD |
| Practice Address |
3303 Sw Bond Ave Mail Code: Ch 5e Portland OR 97239-4501 |
| Practice Telephone | 5034945678 |
| Mailing Telephone | 5034945678 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
14868 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 055868 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922498641 | Tom Wang | Anesthesiology | 801 S Washington St, Naperville, IL 60540-7430 | 2015-02-02 |
| 1194073577 | Tom Yen-po Wang | Pharmacist | 6865 Alton Pkwy, Suite 120, Irvine, CA 92618-3739 | 2012-08-16 |
| Street Address |
3303 SW BOND AVE MAIL CODE: CH 5E |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174287 | Dawn F. Tilgner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2005-06-19 |
| 1376164582 | Marisa Palandri | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-28 |
| 1194345629 | Margaret Alva Mcreynolds | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-24 |
| 1104446392 | Jennifer Crawford | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1093335275 | Mehak Noorani | Speech-Language Pathologist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1497374185 | Ruth Semon | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-13 |
| 1649899675 | Kristin Moore | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-09 |
| 1821627266 | Mollie Ann Suits | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-07 |
| 1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| 1508495037 | Chante Noel Larlee | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1508921354 | David Dean Magilke | Otolaryngology | 9427 Sw Barnes Rd Ste 394, Portland, OR 97225-6616 | 2006-12-22 |
| 1891801551 | Jeffrey Morris Israel | Otolaryngology | 720 Sw Hume St, Portland, OR 97219-4475 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470214 | W. Wallace Webster Md LLC | Otolaryngology | 620 Commercial Ave Ste A, Coos Bay, OR 97420-1846 | 2020-06-08 |
| 1821274317 | Southern Oregon Ear Nose & Throat, PC | Otolaryngology | 555 Black Oak Dr Ste 210, Medford, OR 97504-8491 | 2008-01-14 |
| 1760542724 | Charles Gerard Hurbis | Otolaryngology | 2695 N 17th St, Coos Bay, OR 97420-2134 | 2006-12-11 |
| 1083920177 | David Michael Souza | Otolaryngology | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2010-08-26 |
| 1427296623 | Rogue Valley Ear, Nose, Throat & Facial Plastics PC | Otolaryngology | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2009-01-26 |
| 1124202346 | Michael E Villano Md LLC | Otolaryngology | 431 Ne Revere Ave, 110, Bend, OR 97701-4189 | 2007-12-24 |
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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.