DR. GEMO Y WONG (NPI# 1033118625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033118625 |
| Entity Type | Individual |
| Full Name | DR. GEMO Y WONG |
| Credential | MD |
| Practice Address |
13245 Kessler Rd Cairo IL 62914-3101 |
| Mailing Address |
Po Box 3008 Carbondale IL 62902-3008 |
| Practice Telephone | 6187344400 |
| Practice Fax Number | 6187342884 |
| Mailing Telephone | 6184570450 |
| Mailing Fax Number | 6184577329 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036042845 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036042845 | 05 |
| Street Address |
13245 KESSLER RD |
| City | CAIRO |
| State | IL |
| Zip Code | 62914-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503275 | Amir Namazi | Dentist | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2019-11-18 |
| 1336799691 | Lindsey Adams | Physician Assistant | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2019-09-18 |
| 1538723127 | Darlene Childress | Counselor | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2019-04-29 |
| 1447759527 | Danece Lynn Curtis | Nurse Practitioner | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2018-02-05 |
| 1720330608 | Rebekah B Bogan | Registered Nurse | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2012-10-03 |
| 1720237019 | Kathleen A Zager | Dietitian, Registered | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2008-09-11 |
| 1841455953 | Community Health & Emergency Services, Inc. | Family Medicine | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2008-07-29 |
| 1457539819 | Community Health & Emergency Services, Inc., Dasa | Community/Behavioral Health | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2008-02-07 |
| 1073799912 | Community Health & Emergency Services, Inc | Dentist | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2008-01-10 |
| 1467571497 | Muhammad Ali Memon | Internal Medicine | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262602 | Tamela Michelle Hughes | Counselor | 1404 Washington Ave., Cairo, IL 62914 | 2016-09-01 |
| 1679029920 | Robin Lynn Lutker | Licensed Practical Nurse | 1401 Wahsington Street, Cairo, IL 62914 | 2016-08-28 |
| 1932300993 | Cairo School District Number One Alexander Co. | Local Education Agency (LEA) | 303 34th St, Cairo, IL 62914-1104 | 2007-05-29 |
| 1033414800 | Delta Center Inc | Clinic/Center | 417 30th St, Cairo, IL 62914-1344 | 2011-01-25 |
| 1902274889 | Family Counseling Center, Inc. | Community/Behavioral Health | 417 30th St, Cairo, IL 62914-1344 | 2015-09-09 |
| 1366744211 | Delta Center, Inc | Clinic/Center | 421 30th St, Cairo, IL 62914-1344 | 2010-11-29 |
| 1669984399 | Carol Stout | Speech-Language Pathologist | 3101 Elm St, Cairo, IL 62914-1362 | 2017-11-03 |
| 1174825020 | Delta Center, Inc | Clinic/Center | 2107 Pine St, Cairo, IL 62914-1613 | 2010-11-29 |
| 1518904390 | Community Health & Emergency Services, Inc | Skilled Nursing Facility | 2001 Cedar St, Cairo, IL 62914-1710 | 2006-06-01 |
| 1831731736 | Aperion Care Cairo LLC | Durable Medical Equipment & Medical Supplies | 2001 Cedar St, Cairo, IL 62914-1710 | 2019-10-11 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.