WAN'S MEDICAL CLINIC
NPI 1104996776
Preferred Provider Organization in Morgantown, KY

Active since November 09, 2006
101 W ROBERTS ST, MORGANTOWN, KY 42261(270) 526-3841(270) 526-2651 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wan's Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAN'S MEDICAL CLINIC (NPI 1104996776) is a healthcare organization registered as a preferred provider organization in Morgantown, Kentucky and active in the NPI registry since November 2006. The organization lists Richard Tc Wan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104996776
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameRICHARD T.C. WAN, M.D. ,PSC
Location Address101 W ROBERTS STMorgantown, KY 42261-7942
Mailing AddressPo Box 129Morgantown, KY 42261-0129 · (270) 526-3841 · Fax (270) 526-2651
Fax(270) 526-2651
Organization SubpartNo
Authorized OfficialRichard Tc WanOwner · (270) 526-3841
Enumeration DateNovember 9, 2006
Last NPPES UpdateJune 18, 2008
NPI 1104996776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in KY · 16599
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
101 W ROBERTS ST, Morgantown, KY 42261

Other Names 1

Doing Business AsWan's Medical Clinic

Other Identifiers 3

Other000000045886KY · Bcbs
Medicaid65902033KY
Other18DO326142KY · Clia

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
101 W ROBERTS ST
MORGANTOWN, KY 42261
Physician Assistant (Medical)
101 W ROBERTS ST
MORGANTOWN, KY 42261
Internal Medicine (Geriatric Medicine)
101 W ROBERTS ST
MORGANTOWN, KY 42261
Nurse Practitioner (Family)
101 W ROBERTS ST
MORGANTOWN, KY 42261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard T.C. Wan, M.D. ,psc's NPI number?

The NPI number for Richard T.C. Wan, M.D. ,psc is 1104996776. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Wan's Medical Clinic.

Where is Richard T.C. Wan, M.D. ,psc located?

Richard T.C. Wan, M.D. ,psc is located at 101 W Roberts St, Morgantown, KY 42261. The listed phone number is (270) 526-3841.

What is Richard T.C. Wan, M.D. ,psc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Richard T.C. Wan, M.D. ,psc was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.