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

Qiujuan Wang, PA

Individual provider Physician Assistant · NPI 1174901003

Qiujuan Wang, PA is a Physician Assistant in Hartford, Connecticut. Qualified in 2014, 12 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Connecticut, Florida, New York and Ohio and 2 more.

Years since qualifying
12
Licensed in
CT, FL, NY, OH, VA, WA
In the registry since
2015
Specialties on file
6
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

80 Seymour St
Hartford, CT 06102-8000
Phone: (860) 696-4306
Fax: (860) 696-5140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 Celebration Pl Ste A290, Celebration, FL 34747-4970 — (407) 303-3827
  • 285 E State St Ste 400, Columbus, OH 43215-4368 — (614) 566-7370

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7698 (CT)
Physician Assistant Taxonomy 363A00000X · Licence PA60989637 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA9113633 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004328 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 018589 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0110006085 (VA)

Record details

NPI number1174901003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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