Jason J Wang (NPI# 1275514937, PAC ID# 2567481609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1275514937 |
| PAC ID by PECOS | 2567481609 |
| Professional Enrollment ID | I20051117000352 |
| Full Name | Jason J Wang |
| Organization Legal Name | MADISON STREET PROVIDER NETWORK INC |
| Address |
55 Madison St Suite 355 Denver CO 80206-5429 |
| Phone Number | 3033772020 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5193742948 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060014 | PRESBYTERIAN ST LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 55 Madison St, Suite 355, Denver, CO 80206-5429 | 3033772020 | MADISON STREET PROVIDER NETWORK INC |
| Organization Legal Name | MADISON STREET PROVIDER NETWORK INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betty Zhang | Optometry | Madison Street Provider Network Inc | 6881 S Yosemite St, Centennial, CO 80112-1406 |
| Vandi N Rimer | Optometry | Madison Street Provider Network Inc | 6881 S Yosemite St, Centennial, CO 80112-1406 |
| Kathryn L Jansky | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Howard Amiel | Ophthalmology | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Landon R Kleeb | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Beth M Laber | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Farah A Serrano | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Andrea M Bayliss | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Gary A Belen | Ophthalmology | Madison Street Provider Network Inc | 6881 S Yosemite St, Centennial, CO 80112-1406 |
| Street Address |
55 MADISON ST SUITE 355 |
| City | DENVER |
| State | CO |
| Zip | 80206-5429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn L Jansky | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Howard Amiel | Ophthalmology | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Landon R Kleeb | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Beth M Laber | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Farah A Serrano | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Andrea M Bayliss | Certified Registered Nurse Anesthetist (crna) | Madison Street Provider Network Inc | 55 Madison St, Suite 355, Denver, CO 80206-5429 |
| Ki Ok Cho | Nurse Practitioner | Madison Street Company Nurse Practitioner LLC | 55 Madison St, Suite 255, Denver, CO 80206-5420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth Marie Katubig | Anesthesiology | 1919 E 18th Ave, Midtown Surgical Center, Denver, CO 80206-1107 | |
| Samuel M Rubinson | General Surgery | 1919 E 18th Ave, Midtown Surgery Ctr, Denver, CO 80206-1107 | |
| Joseph Ramharack | Internal Medicine | 1850 Race St, Denver, CO 80206-1116 | |
| Charles J Bertuch | Orthopedic Surgery | Magnolia Medical Company | 1850 Race St, Denver, CO 80206-1116 |
| Chad Johnston | Internal Medicine | Magnolia Medical Company | 1850 Race St, Denver, CO 80206-1116 |
| Jane A Kennedy | Psychiatry | 1894 Vine St, Denver, CO 80206-1122 | |
| Peggy B Liao | Dermatology | Advanced Dermatology of Colorado PC | 2200 E 18th Ave, Denver, CO 80206-1205 |
| Leslie Havard | Dermatology | Advanced Dermatology of Colorado PC | 2200 E 18th Ave, Denver, CO 80206-1205 |
| Hunter H Sams | Dermatology | Advanced Dermatology of Colorado PC | 2200 E 18th Ave, Denver, CO 80206-1205 |
| Karl R Bebendorf | Physical Therapy | 2626 E Colfax Ave, Atlas Physical Therapy, Denver, CO 80206-1412 | |
| Find all physicians in zip 80206 | |||
| City | DENVER |
| Zip Code | 80206 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | DENVER + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.