YUXUAN JERRY WANG (NPI# 1821351099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821351099 |
| Entity Type | Individual |
| Full Name | YUXUAN JERRY WANG |
| Credential | M.D. |
| Practice Address |
505 Ne 87th Ave Ste 301 Vancouver WA 98664-1965 |
| Mailing Address |
26520 Cactus Ave. Rcrmc General Residency Residency Program Moreno Valley CA 92555 |
| Practice Telephone | 3605141854 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD60862280 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A131054 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD60862280 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26520 Cactus Ave, General Surgery Residency Program, Moreno Valley, CA 925553927 | 9514865908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316486301 | Yuxuan Wang | Student in an Organized Health Care Education/Training Program | 600 North Wolfe Street, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2017-02-23 |
| Street Address |
505 NE 87TH AVE STE 301 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417968256 | Joseph Y Chang | Internal Medicine | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2006-08-10 |
| 1427696269 | Alexandria Berhorst | Physician Assistant | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2019-12-11 |
| 1114324894 | Andrea Christine Pertoso | Physician Assistant | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2014-11-25 |
| 1366738312 | Brian Joseph Zeithaml | Surgery | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2011-06-28 |
| 1386809739 | Stephanie A Sea | Surgery | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2008-07-25 |
| 1407019177 | Tim Hsin-an Lee | Surgery | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2008-07-03 |
| 1649351719 | Christopher T. Lewis | Surgery | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437336286 | Ts Washington, LLC | Surgery | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
| 1356489231 | Ronald M Graff | Surgery | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-02-02 |
| 1942353016 | William C Mcquinn V | Surgery | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-01-19 |
| 1063446672 | Matthew Joseph Eckert | Surgery | 9040 Fitzsimmons Dr, Dept Surgery, Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431-1000 | 2006-07-10 |
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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.