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GEORGE SAM WANG MD NPI 1871649459


NPI Information

NPI: 1871649459
Provider Name: GEORGE SAM WANG, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
13123 E 16TH AVE
B251
AURORA, CO
ZIP 80045
Phone: (720) 777-6888
Get Directions

George Sam Wang, MD is a pediatric emergency medicine pediatrics in Aurora, CO. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. George Sam Wang, MD NPI is 1871649459. 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:

13123 E 16TH AVE
B251
AURORA, CO
ZIP 80045-106
Phone: (720) 777-6888

The NPI 1871649459 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 1/26/2007 and was last updated on 12/5/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PP0204XEmergency MedicinePediatric Emergency Medicine46566COLORADONo
2207PT0002XEmergency MedicineMedical Toxicology46566COLORADONo
3208000000XPediatrics46566COLORADONo
42080P0204XPediatricsPediatric Emergency MedicineDR.0046566COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
167306357MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.