ANDREA SUSAN WANG (NPI# 1780616680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780616680 |
| Entity Type | Individual |
| Full Name | ANDREA SUSAN WANG |
| Credential | MD |
| Practice Address |
3260 Providence Dr Ste 322 Anchorage AK 99508-4608 |
| Practice Telephone | 9075635151 |
| Mailing Telephone | 9075635151 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
6166 | AK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306218110 | Andrea Lee Wang | Pharmacist | 1107 Fair Oaks Ave # 139, South Pasadena, CA 91030-3311 | 2015-10-21 |
| 1568684454 | Andrea Shuyun Wang | Acupuncturist | 12100 Imperial Hwy Suite No 101, Norwalk, CA 90650 | 2007-05-02 |
| 1114188182 | Andrea S. Wang | Otolaryngology | 2315 Broadway, 3rd Fl, New York, NY 10024-4332 | 2008-06-22 |
| Street Address |
3260 PROVIDENCE DR STE 322 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854052 | Peter B Hulman | Internal Medicine | 3260 Providence Dr, Suite 431, Anchorage, AK 99508-4661 | 2005-07-08 |
| 1679920896 | Juliana Santillanes | Massage Therapist | 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4661 | 2016-05-17 |
| 1255730438 | Dorothea Joyleeann Humann Zacharias | Advanced Practice Midwife | 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4608 | 2014-08-14 |
| 1447679097 | Laina Cannon | Dietitian, Registered | 3260 Providence Dr, Ste 528, Anchorage, AK 99508-4661 | 2014-04-10 |
| 1568725877 | Sherifat Ajibike Ope Adenuga | Obstetrics & Gynecology | 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4661 | 2012-06-21 |
| 1306121892 | Jillian Rae Schroeder | Social Worker | 3260 Providence Dr, C537, Anchorage, AK 99508-4661 | 2011-10-15 |
| 1073809547 | Tania H Hall | Obstetrics & Gynecology | 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4661 | 2011-06-23 |
| 1861784407 | Amanda Lynn Beery | Obstetrics & Gynecology | 3260 Providence Dr, Ste 322, Anchorage, AK 99508-4661 | 2011-05-13 |
| 1700182706 | Paula Leslie Phillips | Counselor | 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4661 | 2011-02-08 |
| 1437466935 | Kelly M Foster | Nurse Practitioner | 3260 Providence Dr, Ste. 523, Anchorage, AK 99508-4661 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
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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.