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

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