DR. EVAN WONG (NPI# 1003311754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003311754 |
| Entity Type | Individual |
| Full Name | DR. EVAN WONG |
| Credential | MD, MPH, FRCSC |
| Practice Address |
1800 Orleans St Ste 6107 Baltimore MD 21287 |
| Mailing Address |
1800 Orleans St Ste 6107 Baltimore MD 21287-0010 |
| Practice Telephone | 4109552244 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
D0084794 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952930364 | Evan Scott Wong | Student in an Organized Health Care Education/Training Program | 5300 N Meadows Dr, Grove City, OH 43123-2546 | 2020-04-07 |
| 1083251854 | Evan Wong | Pharmacist | 3983 Laconia Ave, Bronx, NY 10466-4916 | 2019-11-29 |
| Street Address |
1800 ORLEANS ST STE 6107 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700084266 | Christian D. Jones | Surgery | 1800 Orleans St Ste 6107, Baltimore, MD 21287-0010 | 2007-07-06 |
| 1588955694 | Peter Sungjin Pak | Surgery | 1800 Orleans St Ste 6107, Baltimore, MD 21287-0010 | 2011-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| Find all providers in zip 21287 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669730081 | Christian Damone Cain | Surgery | 22 S Greene St Dept Of, Baltimore, MD 21201 | 2012-04-24 |
| 1033485289 | Marcie Feinman | Surgery | 2435 W. Belvedere Ave. Suite 42, Hoffberger Building, Baltimore, MD 21215 | 2012-03-31 |
| 1639684434 | Jonathan James Morrison | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-12-04 |
| 1124448162 | Patrick Franklin Walker | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-04-17 |
| 1851680466 | Madhu Gary Subramanian | Surgery | 4940 Eastern Ave Bldg 5th, Baltimore, MD 21224-2735 | 2011-04-04 |
| 1043235666 | Sinai Hospital of Baltimore Inc | Surgery | 2435 W Belvedere Ave, Suite 42, Baltimore, MD 21215-5224 | 2006-07-13 |
| 1790712818 | David R. Gens | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-06-26 |
| 1790763993 | Thomas M Scalea | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613845 | Howard R Champion | Surgery | 954 Melvin Rd, Annapolis, MD 21403-1316 | 2013-04-08 |
| 1962506436 | Vicki Elaine Reese | Surgery | 12146 Sweet Clover Dr, Silver Spring, MD 20904-1866 | 2006-09-12 |
| 1093725301 | Jeffrey Paul Muench | Surgery | 11119 Rockville Pike Ste 409, Rockville, MD 20852 | 2006-08-09 |
| 1285661314 | Eldon Leon Hawbaker | Surgery | 11912 Indian Ln, Hagerstown, MD 21742-4204 | 2006-06-26 |
| 1952942666 | Reza Moghaddasnia | Surgery | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-10-03 |
| 1700256559 | Dimensions Healthcare Associates, Inc | Surgery | 2900 Mercy Ln, 2nd Floor, Cheverly, MD 20785-1157 | 2015-10-05 |
| 1891987483 | Willie C. Blair, M.d. P.a. | Surgery | 7525 Greenway Center Dr, Suite 211, Greenbelt, MD 20770-3509 | 2007-08-16 |
| 1538378906 | Mosam Cardiovascular Surgical Associates | Surgery | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2007-05-22 |
| 1689759128 | Meritus Medical Center Inc | Surgery | 11116 Medical Campus Road, Hagerstown, MD 21742-6710 | 2006-10-25 |
| 1700970829 | Memorial Hospital and Medical Center of Cumberland, Inc. | Surgery | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2006-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.