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

Yi Wang

Individual provider Surgery Physician · NPI 1417290248

Yi Wang is a General Surgery in Lake City, Florida. Qualified in 1997, 29 years ago. Practices with Lake City Regional Medical Group LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida, Pennsylvania and Virginia.

Years since qualifying
29
Licensed in
FL, PA, VA
In the registry since
2013
Specialties on file
4

Practice location Address checks out

2970 W US Highway 90 Ste 110
Lake City, FL 32055-4703
Phone: (386) 247-6915
Fax: (386) 247-6915
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 136863 (FL)
Surgery Physician Taxonomy 208600000X · Licence 0101258942 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT216590 (PA)
Surgery Physician Taxonomy 208600000X · Licence MT216950 (PA)

Record details

NPI number1417290248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2013
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address2970 W Us Highway 90 Ste 110, Lake City, FL 32055-4703

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Lake City Regional Medical Group Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake City