SOLEDAD WANG (D.O.) – Family Medicine Physician, NPI 1205851235

Family Medicine Physician

SOLEDAD WANG (D.O.) is a healthcare provider. based in Okmulgee, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 3807 (OK). The NPI Number for SOLEDAD WANG (D.O.) is 1205851235

Main info

Female

28 Years Of Experience

Accepts Medicare Assignment

Name

SOLEDAD WANG (D.O.)

NPI

1205851235

Phone

(918) 756-3334

Address

PO BOX 400

Enumeration Date

12 July 2006

Last Update Date

9 July 2007

Doctor Profile

Medical School Name

OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE

Secondary Phone

9182249310

Graduation Year

1998 (28 years ago)

PAC ID

6709880644

Group Practice PAC ID

5698786226

Professional Enrollment ID

I20060906000542

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOLEDAD WANG (D.O.)

PO BOX 400
OKMULGEE, OK 744470400
Phone: (918) 756-3334
Fax: (918) 756-3993
Type: Mailing
Sapulpa Indian Health Center, 1125, East Cleveland Avenue, Sapulpa, Creek County, Oklahoma, 74066, United States
SAPULPA, OK 740664641
Phone: (918) 224-9310
Fax: (918) 756-3993
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20060906000542	I	Family Practice	OK	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74447)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5698786226View full group profile

Name	Specialty	State
MRS. BREANNA R DALE (RD,LD)	-	OK
DR. LAWRENCE E VARK (D.O.)	-	OK
DR. BRUCE R HODSON (PH.D.)	-	OK
DANIEL JAMES DITTUS (D.O.)	Emergency Medicine	SC
JENNIFER SI LI (MD)	-	OK
AMANDA RENE REED (D.O.)	Family Practice	OK
CHRISTOPHER ALLEN SMITH (DO)	-	OK
NANCY WILLIAMS (M.D.)	Internal Medicine, Hospice/Palliative Care	OK
DEREK KNOTTS (M.D.)	Emergency Medicine	OK
DR. TIMOTHY TODD MCCAY (DO)	Diagnostic Radiology	OK