LI WANG (NPI# 1861648487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861648487 |
| Entity Type | Individual |
| Full Name | LI WANG |
| Credential | MD |
| Practice Address |
22707 Se 29th St Sammamish WA 98075-9532 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 4254552845 |
| Practice Fax Number | 4258618602 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60226723 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301093329 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876949 | Li Wang | Nurse Practitioner | 2304 Leeway Dr, Hudson, OH 44236-1819 | 2020-09-21 |
| 1528693488 | Li Wang | Acupuncturist | 20542 N Lake Pleasant Rd Ste 103, Peoria, AZ 85382-9749 | 2020-03-11 |
| 1902391832 | Li Wang | Acupuncturist | 15 Park Ave Ste 1, New York, NY 10016-4348 | 2018-06-23 |
| 1295132785 | Li Wang | Nurse Practitioner | 1821 Martin Luther King Pkwy # 100277, Durham, NC 27707 | 2014-11-26 |
| 1841691144 | Li Wang | Specialist | 34804 Se Jacobia St, Snoqualmie, WA 98065-5019 | 2014-09-06 |
| 1801055512 | Li Wang | Pharmacist | 2545 Pacific Coast Highway, Torrance, CA 90505 | 2008-06-06 |
| 1326195892 | Li Wen Wang | Optometrist | 500 E Ben White Blvd, Ste D - 600, Austin, TX 78704-7470 | 2007-01-05 |
| 1932268794 | Li Wang | Acupuncturist | 8120 Penn Ave S Ste 419, Bloomington, MN 55431-1351 | 2006-12-07 |
| 1376629659 | Li Wang | Dentist | 2181 Washington St, Suite 101, Roxbury, MA 02119-2082 | 2006-10-28 |
| 1083240378 | Li Wang | Dietitian, Registered | 120 San Lucar Ct, Sunnyvale, CA 94086-5213 | 2020-03-18 |
| Street Address |
22707 SE 29TH ST |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98075-9532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851379515 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 22707 Se 29th St, Bldg C, Sammamish, WA 98075-9532 | 2006-01-04 |
| 1134772148 | Kayleen M Jones | Registered Nurse | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2019-07-18 |
| 1700249885 | Laboratory Corporation of America | Clinical Medical Laboratory | 22707 Se 29th St, Building C, Sammamish, WA 98075-9532 | 2016-04-05 |
| 1871901546 | Wenjia Song | Registered Nurse | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2014-07-25 |
| 1497803936 | Darshana Dudgikar | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2007-01-08 |
| 1619039401 | Carolyn C Liu | Internal Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1932261682 | David Y Pong | Internal Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1225190978 | Seth P Fader | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1114088713 | Jeannie Chia Hui Chang | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-13 |
| 1881767507 | Fengxia Qiao | Family Medicine | 22707 Se 29th St, Ste F, Sammamish, WA 98075-9532 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
| 1508395013 | Ameeta M Desai | Physical Therapist | 24204 Se 14th Ct, Sammamish, WA 98075 | 2017-06-08 |
| 1013119494 | Betty Jane Hartwell | Massage Therapist | 3310d E Lk Sammamish Pkwy Se, Sammamish, WA 98075 | 2007-06-05 |
| 1699860908 | Andrea Lynn Hutton | Physical Therapist | 21018 Se 24th St, Sammamish, WA 98075 | 2006-10-03 |
| 1558752170 | Mollie Marie Sharp | Registered Nurse | 22717 Se 29th St Ste D-101, Sammamish, WA 98075 | 2015-02-18 |
| 1720209810 | Amy L Tait | Physical Therapist | 22739 Se 29th St, Sammamish, WA 98075 | 2007-05-02 |
| 1790133791 | Maria Faires | Dietitian, Registered | 2841 275th Ave Se, Sammamish, WA 98075-4214 | 2016-05-31 |
| 1578935714 | Ariel Folsom Hubbard | Massage Therapist | 4425 Issaquah Pine Lake Rd Se Apt Y14, Sammamish, WA 98075-5201 | 2015-10-27 |
| 1740611532 | Kei Kinoshita | Massage Therapist | 4323 Issaquah Pine Lake Rd Se, Unit 503, Sammamish, WA 98075-5266 | 2013-12-05 |
| Find all providers in zip 98075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435807 | Jenna Crutsinger | Family Medicine | 22850 Ne 8th Street Ste 103, Sammamish, WA 98074 | 2019-09-10 |
| 1659455368 | Donald T Stewart | Family Medicine | 3854 E Lk Sammamish Pkwy Ne, Sammamish, WA 98074-4534 | 2006-10-25 |
| 1639206139 | Leena Chacko | Family Medicine | 22850 Ne 8th St, #103, Sammamish, WA 98074-7256 | 2007-02-28 |
| 1497803936 | Darshana Dudgikar | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2007-01-08 |
| 1225190978 | Seth P Fader | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1114088713 | Jeannie Chia Hui Chang | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-13 |
| 1881767507 | Fengxia Qiao | Family Medicine | 22707 Se 29th St, Ste F, Sammamish, WA 98075-9532 | 2006-11-17 |
| 1740364454 | Gayle H Palmer | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-10-25 |
| 1578647285 | Luann L Chen | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-10-25 |
| 1417058694 | Public Hospital District No 2 | Family Medicine | 22850 Ne 8th St, Ste 103, Sammamish, WA 98074-7256 | 2006-09-26 |
| Find all providers in SAMMAMISH | ||||
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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.