DR. PAUL WANG D.O. NPI 1053492389

NPI Information

NPI: 1053492389
Provider Name: DR. PAUL WANG, D.O.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
6501 E GREENWAY PKWY STE 103
PMB #158
SCOTTSDALE, AZ
ZIP 85254
Phone: (602) 494-5015
Get Directions

DR. Paul Wang, D.O. is a pain medicine physical medicine rehabilitation in Scottsdale, AZ. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DR. Paul Wang, D.O. NPI is 1053492389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6501 E GREENWAY PKWY STE 103
PMB #158
SCOTTSDALE, AZ
ZIP 85254-070
Phone: (602) 494-5015
Fax: (602) 445-9369

The NPI 1053492389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208100000X	Physical Medicine & Rehabilitation		4414	ARIZONA	No
2	208100000X	Physical Medicine & Rehabilitation		20A10222	CALIFORNIA	No
3	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	20A10222	CALIFORNIA	No
4	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	4414	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I63995	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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