DR. JACQUELINE MICHELLE WONG (NPI# 1083041701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041701 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MICHELLE WONG |
| Credential | M.D. |
| Practice Address |
914 S Scheuber Rd Centralia WA 98531 |
| Practice Telephone | 3603308516 |
| Mailing Telephone | 3603308516 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 60789589 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708791 | Jacqueline H Wong | Counselor | 10 Schalks Crossing Rd Ste 501a-105, Plainsboro, NJ 08536-1612 | 2020-07-27 |
| 1962616235 | Jacqueline Wong | Dentist | 1998 Broadway, Apt 1207, San Francisco, CA 94109-2281 | 2007-05-09 |
| 1114968393 | Jacqueline C Wong | Internal Medicine | 1336 W Valley Blvd, Suite A, Alhambra, CA 91803-2480 | 2006-06-09 |
| 1649804790 | Jacqueline Wong | Occupational Therapist | 710 Nw Juniper St, Issaquah, WA 98027-2717 | 2020-02-27 |
| 1417315490 | Jacqueline J Wong | Dentist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2016-02-04 |
| 1043609712 | Jacqueline Mahn Kwan Wong | Obstetrics & Gynecology | 250 E Superior St, Dept Obstetrics and Gynecology, Chicago, IL 60611-2914 | 2015-01-17 |
| 1184841710 | Jacqueline Y Wong | Family Medicine | 550 16th Ave, #100, Seattle, WA 98122-5699 | 2007-04-18 |
| 1760479323 | Jacqueline W Wong | Ophthalmology | 945 Hildebrand Ln Ne, Suite 235, Bainbridge Island, WA 98110-2877 | 2005-09-29 |
| Street Address |
914 S SCHEUBER RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600805 | Leena Carriere | Anesthesiology | 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531-9027 | 2005-06-24 |
| 1114542065 | Gary John Clinton Mersereau Sr. | Registered Nurse | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-06-16 |
| 1366077745 | Andrew J Maasdam | Nurse Anesthetist, Certified Registered | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-03-06 |
| 1447884374 | Michelle Stover | Registered Nurse | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-02-29 |
| 1932748993 | Erika Anne Laurentz | Counselor | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-12-22 |
| 1952942567 | Ashley Marie Wheeler | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-10-04 |
| 1619537057 | Rebecca Kathryn Mcneil | Counselor | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-06-18 |
| 1982269395 | Jennifer Green | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-05-01 |
| 1033698519 | Jennifer Ann Reuter | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531 | 2018-08-07 |
| 1629554274 | Rachelle Marie Peterson | Occupational Therapist | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2018-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144519422 | Leesa Catharine Echols | Emergency Medicine | 914 S Scheuber Road, Centralia, WA 98531-9027 | 2011-04-07 |
| 1396034245 | Midwest Emergency Centralia Campus Associates, Inc | Emergency Medicine | 400 North Pleasant Avenue, Centralia, IL 62801-3056 | 2011-03-31 |
| 1811370281 | Jason Duwayne Townzen | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2015-07-03 |
| 1043691876 | June A Burn | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531 | 2015-06-17 |
| 1285048017 | Marcus Scott Myers | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531 | 2014-06-19 |
| 1275732661 | Providence Health & Services Washington | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2007-07-16 |
| 1356475818 | Richard Norlin Mitchell | Emergency Medicine | 1021 E Highway 22, Centralia, MO 65240-1183 | 2007-03-15 |
| 1174555684 | Lewis County Emergency Physicians | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2006-07-07 |
| 1902836588 | Douglas Hayden | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2006-07-03 |
| 1043249360 | Patrick O'neill | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2006-06-30 |
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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.