Physician Compare National (NPI:1932218005)

HEALTHCARE PROVIDER: WEI-CHUAN WANG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932218005
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002907714
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080522000362
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WANG
	Individual professional last name
Provider First Name	WEI CHUAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAYCARE CLINIC LLP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4385554328
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	167
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2845 GREENBRIER RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	GREEN BAY
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	543116519
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	520193
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AURORA BAYCARE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	520113
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAY AREA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y