WAYNE YANG MD NPI 1730319336

NPI Information

NPI: 1730319336
Provider Name: WAYNE YANG, MD
Classification: Single Specialty - 193400000X
Entity Type: Individual
Organization: SUBURBAN METABOLIC INSTITUTE, LLC

PECOS Registration: Yes

Address:
1025 MOREHEAD MEDICAL DR
SUITE 300
CHARLOTTE, NC
ZIP 28204
Phone: (704) 355-1813
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Wayne Yang, MD is a single specialty in Charlotte, NC with 15 years of experience. The provider is a business group of one or more individual practitioners, all of who practice with the same area of specialization. Wayne Yang, MD NPI is 1730319336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1025 MOREHEAD MEDICAL DR
SUITE 300
CHARLOTTE, NC
ZIP 28204-963
Phone: (704) 355-1813
Fax: (704) 355-5980

The NPI 1730319336 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 7/17/2009 and was last updated on 9/1/2016.

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	License Number	License State	Primary
1	208600000X	Surgery	4301095093	MICHIGAN	No
2	208600000X	Surgery	2015-00961	NORTH CAROLINA	No
3	193400000X	Single Specialty	036.141461	ILLINOIS	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
1	NCO289A	MEDICARE PIN	NORTH CAROLINA
2	1730319336	MEDICAID	NORTH CAROLINA
3	NC2410	MEDICAID	SOUTH CAROLINA
4	NCO289B	MEDICARE PIN	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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