Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Wan, DO

Individual provider Pediatrics Physician · NPI 1154944585

Jonathan Wan, DO is a Pediatrics Physician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 012495 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 012495 (AZ)

Record details

NPI number1154944585
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2020
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address2108 E Thomas Rd, Phoenix, AZ 85016-7761

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