DR. GEORGE WANG (NPI# 1851342828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851342828 |
| Entity Type | Individual |
| Full Name | DR. GEORGE WANG |
| Credential | M.D |
| Practice Address |
2919 S Ellsworth Rd Suite 135 Mesa AZ 85212-2164 |
| Practice Telephone | 4809676888 |
| Practice Fax Number | 4809676887 |
| Mailing Telephone | 4809676888 |
| Mailing Fax Number | 4809676887 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
29668 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 642852 | 05 | |
| AZ | RAILROAD MEDICARE | P00079658 | 01 |
| AZ | HUMANA | 752987075 | 01 |
| AZ | TRICARE | A002 | 01 |
| AZ | HEALTH NET | 1Z6331 | 01 |
| AZ | AETNA | 7080374 | 01 |
| AZ | PACIFICARE | 752987075 | 01 |
| AZ | LIFE WISE HEALTH CARE | 752987075 | 01 |
| AZ | BLUE CROSS & BLUE SHIELD | AZ0712630 | 01 |
| AZ | WORK COMP | 358680100 | 01 |
| AZ | CIGNA | 4229278-001 | 01 |
| AZ | GREAT WEST | 752987075 | 01 |
| AZ | UNITED HEALTH CARE | 752987075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303954 | George P Wang | Acupuncturist | 4336 147th St, Flushing, NY 11355-1755 | 2020-07-15 |
| 1669507588 | George C. Wang | Internal Medicine | 60a Ridgedale Ave, Morristown, NJ 07960-9418 | 2007-02-22 |
| 1962499616 | George H Wang | Obstetrics & Gynecology | 2211 S Atlantic Blvd, Suite B, Monterey Park, CA 91754-6833 | 2005-09-28 |
| 1346879418 | George Wang | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 2150, Orange, CA 92868-5920 | 2020-04-02 |
| 1295175388 | George Jen Fu Wang | Pathology | 601 N 30th St, Cu Department of Pathology, Omaha, NE 68198-5582 | 2013-07-03 |
| 1124344767 | George C Wang | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2010-04-07 |
| 1801051149 | George K Wang | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065-6007 | 2008-07-25 |
| 1205005584 | George Jaw-jen Wang | Family Medicine | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2008-02-21 |
| 1336336742 | George Christian Wang | Pharmacist | 5500 Martin Way E, Lacey, WA 98516-6326 | 2007-09-29 |
| 1487867198 | George Wang | Dentist | 817 W Pioneer Pkwy, #150, Grand Prairie, TX 75051-4710 | 2007-05-08 |
| Street Address |
2919 S ELLSWORTH RD SUITE 135 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1225381999 | Amy Lynn Wagner | Naturopath | 2919 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2164 | 2012-10-18 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073573 | William Wagner Md PC | Psychiatry & Neurology | 4135 S Power Rd Ste 120, Mesa, AZ 85212-3626 | 2011-07-28 |
| 1144480682 | Win Toe | Psychiatry & Neurology | 6553 E Baywood Ave Ste 212, 2nd Floor, Mesa, AZ 85206-1754 | 2008-06-09 |
| 1063479707 | Julius Ray Charlie | Psychiatry & Neurology | 6944 E Broadway Rd, Mesa, AZ 85208-1916 | 2006-04-27 |
| 1053309245 | Gilbert J. Toffol, D.o., Pllc | Psychiatry & Neurology | 1134 E University Dr, Ste 114, Mesa, AZ 85203-8027 | 2005-10-11 |
| 1699771600 | David Charles Marzulo | Psychiatry & Neurology | 1919 E Mckellips Rd, Ste 102, Mesa, AZ 85203-2844 | 2005-06-23 |
| 1669095394 | Tonto Tech LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1124641857 | Pine Monitoring LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1043728801 | Advanced Iom Specialists, LLC | Psychiatry & Neurology | 2535 W Plata Ave, Mesa, AZ 85202-7860 | 2018-01-15 |
| 1184135980 | Iom Technologist Rem LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-19 |
| 1801307814 | Intraoperative Neurology Preventative Services LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-17 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on DR. GEORGE WANG.
| 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.