MARY WANG
NPI 1164126884
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Mary Wang's NPI number?

The NPI number for Mary Wang is 1164126884. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Mary Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wang was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2023PECOS Enrolled

1300 N 12TH ST STE 605, PHOENIX, AZ 85006(602) 839-4567 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Wang NPPES

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

MARY WANG (NPI 1164126884) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164126884

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARY WANG

Location Address1300 N 12TH ST STE 605Phoenix, AZ 85006-2850

Mailing Address251 N Logan St Apt 1Denver, CO 80203-4873 · (720) 352-7117

Phone(602) 839-4567

Sole ProprietorNo

Enumeration DateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1164126884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 N 12TH ST STE 605, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

TYLER STEELE

Student in an Organized Health Care Education/Training Program