CARRIE CHARLENE WONG


Address: 1408 3rd St Se, 150 & 200, Puyallup, WA 98372-3702
Phone: 2536973550

CARRIE CHARLENE WONG (NPI# 1053367144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053367144
Entity Type Individual
Full Name CARRIE CHARLENE WONG
Other Name CARRIE WONG BERG
Credential MD
Practice Address 1408 3rd St Se
150 & 200
Puyallup
WA 98372-3702
Practice Telephone 2536973550
Mailing Telephone 2536973550
Enumeration Date 2006-05-26
Last Update Date 2012-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD00039643 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA L & I PROVIDER NUMBER 0149432 01
WA AETNA PROVIDER NUMBER 7029452 01
WA KPS PROVIDER NUMBER 91120349475 01
WA REGENCE RIDER NUMBER 6688WO 01
WA 8276735 05
WA TRICARE PROVIDER NUMBER 98372D006 01

Other Providers CARRIE WONG

NPI Name Taxonomy Address Enumeration
1801214440 Carrie Ruby Wong Student in an Organized Health Care Education/Training Program 950 Campbell Avenue, 11acsl1, Va Connecticut Healthcare System, West Haven, CT 06516 2014-04-01
1386956407 Carrie Ka Lei Wong Dentist 3500 Lomita Boulevard, Suite 103, Torrance, CA 90505-5021 2010-07-06
1962850156 Carrie Wong Pharmacist 700 Lawrence Expy, Santa Clara, CA 95051-5173 2016-05-27
1366604365 Carrie Wong Internal Medicine 4650 Palm Ave, San Diego, CA 92154-8404 2008-06-30

Office Location

Street Address 1408 3RD ST SE
150 & 200
City PUYALLUP
State WA
Zip Code 98372-3702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588067896 Washington Center for Pain Management LLC Anesthesiology 1408 3rd St Se, 1st Floor, Puyallup, WA 98372-3702 2014-09-30
1225302193 Kristen Pomeroy Obstetrics & Gynecology 1408 3rd St Se, 200, Puyallup, WA 98372-3702 2012-02-23
1922040088 Debra Mcallister Obstetrics & Gynecology 1408 3rd St Se, 150 & 200, Puyallup, WA 98372-3702 2006-06-12
1285674341 James Travis Majors Obstetrics & Gynecology 1408 3rd St Se, 150 & 200, Puyallup, WA 98372-3702 2006-06-07
1447207303 Sam Hwa Song Obstetrics & Gynecology 1408 3rd St Se, 150 & 200, Puyallup, WA 98372-3702 2006-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371532 Jeffrey Allen Zhan Urology Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 2019-11-21
1447811419 Serenity Counseling & Consulting, LLC Marriage & Family Therapist 102 23rd St Se, Unit B, Puyallup, WA 98372 2019-06-21
1316401565 Katherine Juarez Davidson Nurse Practitioner 325 E Pioneer # A145, Puyallup, WA 98372 2019-01-22
1679041404 Cara Ann Lundin Nurse Practitioner 11926 43rd St Crt E, Edgewood, WA 98372 2018-11-09
1104392109 Megan Black Occupational Therapist 40 29th St Ne, Puyallup, WA 98372 2018-10-17
1063919470 Myriah Shekinah Olakpe Occupational Therapist 516 Se 23rd Ave, Puyallup, WA 98372 2018-04-11
1902330202 Tyler Girdler Student in an Organized Health Care Education/Training Program 1322 3rd Street Se Suite 240, Puyallup, WA 98372 2017-04-13
1770039471 Mahalakshmi Hariharan Pharmacist 2117 28th St Se, Puyallup, WA 98372 2016-09-01
1801241112 Nawazish Ali Internal Medicine 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 2016-04-25
1932567559 Denice L. Voss Physical Therapist 400 29th St. Ne, Puyallup, WA 98372 2016-02-10
Find all providers in zip 98372

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710306436 Prime Health Clinic Pllc Obstetrics & Gynecology 1420 3rd St Se Ste 106, Puyallup, WA 98372-3730 2014-04-09
1982982583 Joann Li Yen Tye Obstetrics & Gynecology 1701 3rd St Se Ste 200, Puyallup, WA 98372-4511 2011-07-30
1518151224 J. Michaelson, Jr. M.d. Facog, P.s. Obstetrics & Gynecology 1703 S Meridian Ste 301, Puyallup, WA 98371-7590 2007-09-05
1689891657 Danielle Barczak Henderson Obstetrics & Gynecology 11102 Sunrise Blvd E Ste 110, Puyallup, WA 98374-8846 2007-04-19
1093851446 Douglas W Gant Obstetrics & Gynecology 1824 Meridian S, Puyallup, WA 98371-7514 2007-01-30
1457406761 Bruce D Romig Obstetrics & Gynecology 520 14th Ave Se, Puyallup, WA 98372-4683 2007-01-24
1346333754 Victor L Obregon Obstetrics & Gynecology 1703 S Meridian Ste 103, Puyallup, WA 98371-7590 2006-09-30
1619934429 Pamela D Cowell Obstetrics & Gynecology 120 14th Ave Se, Suite C, Puyallup, WA 98372-3718 2006-04-26
1437544822 Mai Tran Obstetrics & Gynecology 1701 3rd St Se Ste 200, Puyallup, WA 98372-4511 2015-04-02
1518372887 Ashley Butlin Obstetrics & Gynecology 1701 3rd St Se Ste 200, Puyallup, WA 98372 2014-06-25
Find all providers in PUYALLUP

Competitor

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City PUYALLUP
Zip Code 98372

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Dataset Information

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.

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