Eric X Wang (NPI# 1306802376, PAC ID# 5395728356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1306802376 |
| PAC ID by PECOS | 5395728356 |
| Professional Enrollment ID | I20040621001917 |
| Full Name | Eric X Wang |
| Address |
4168 Holiday St Nw Canton OH 44718-2532 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360070 | MERCY MEDICAL CENTER |
| 360084 | AULTMAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4168 Holiday St Nw, Canton, OH 44718-2532 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
4168 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip | 44718-2532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mcavinew | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Ebony Lewis | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Kimberly R Oney | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Gina Kicos | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Adarsh Vennepureddy | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Shawn Richards | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Sunitha Vemulapalli | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Gust Pantelas | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Matthew Licause | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Alina Marie Wolf | Physician Assistant | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Find all physicians in zip 44718 | |||
| City | CANTON |
| Zip Code | 44718 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CANTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Eric X Wang.
| 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.