Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Tien-Yi Wang, MD

Individual provider Pediatrics Physician · NPI 1114570512

Dr. Mary Tien-Yi Wang, MD is a Pediatric Medicine in Cleveland, Ohio. Qualified in 2019, 7 years ago. Practices with Wooster Clinic LLC, a 288-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9500 Euclid Ave # NA23
Cleveland, OH 44195-0001
Phone: (216) 444-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.145597 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 57.248052 (OH)

Record details

NPI number1114570512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2019
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wooster Clinic Llc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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