JORGE A WONG (NPI# 1083678494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083678494 |
| Entity Type | Individual |
| Full Name | JORGE A WONG |
| Credential | MD |
| Practice Address |
730 Medical Center Dr Newton KS 67114-8778 |
| Mailing Address |
Po Box 256 Salina KS 67402-0256 |
| Practice Telephone | 3162831141 |
| Practice Fax Number | 3162831162 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 7858230658 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0424770 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KS LICENSE | 0424770 | 01 |
| KS | 100150390E | 05 | |
| OK | 200578670A | 05 | |
| KS | DEA | BW3809398 | 01 |
| KS | 100150390A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720463235 | Jorge Wong | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2015-07-26 |
| 1689735284 | Jorge Wong | Psychologist | 2400 Moorpark Ave, Suite 300, San Jose, CA 95128-2631 | 2006-12-13 |
| Street Address |
730 MEDICAL CENTER DR |
| City | NEWTON |
| State | KS |
| Zip Code | 67114-8778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841254521 | Elshami M Elamin | Internal Medicine | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-04-12 |
| 1124647847 | Central Care, Pa | Non-Pharmacy Dispensing Site | 730 Medical Center Dr, Newton, KS 67114-8778 | 2020-04-13 |
| 1871868455 | Central Care, Pa | Specialist | 730 Medical Center Dr, Newton, KS 67114-8778 | 2012-03-15 |
| 1184952962 | Terence Aik-huang Tan | Internal Medicine | 730 Medical Center Dr, Newton, KS 67114-8778 | 2009-12-07 |
| 1730222035 | Karen S Couch | Registered Nurse | 730 Medical Center Dr, Newton, KS 67114 | 2007-02-15 |
| 1780784645 | Gregory D Nanney | Internal Medicine | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-09-22 |
| 1235143330 | Pamela Kerns | Nurse Practitioner | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-07-27 |
| 1003852385 | Brian David Berger | Radiology | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301854 | Kelly Pruitt | Physical Therapist | 111 Summer Drive, Newton, KS 67114 | 2016-04-22 |
| 1538505417 | Fair Chiropractic LLC | Chiropractor | 2305 S. Kansas Ave., Suite 104, Newton, KS 67114 | 2013-05-17 |
| 1922383884 | Anne M Geidel | Pharmacist | 1300 N. Main, Newton, KS 67114 | 2011-10-11 |
| 1831474790 | Mark Thomas Attebery | Pharmacist | 1300 N. Main St., Newton, KS 67114 | 2011-10-11 |
| 1417254228 | Katie Conner Reese | Social Worker | 209 S. Pine Street, Newton, KS 67114 | 2011-02-15 |
| 1306076328 | Tammy Bush | Physical Therapist | 800 Meadowlark Ln, Newton, KS 67114 | 2009-07-24 |
| 1790962223 | Eric Brian Fair | Chiropractor | 2305 S. Kansas Ave, Suite 104, Newton, KS 67114 | 2008-01-28 |
| 1144434960 | Keri Annette Mick | Speech-Language Pathologist | Newton Presbyterian Manor, 7th Street, Newton, KS 67114 | 2007-05-10 |
| 1659425841 | Michele I Janssens | Speech-Language Pathologist | 115 Harrison St, Newton, KS 67114 | 2007-01-23 |
| 1912063751 | Edward A Myers | Chiropractor | 1609 E 9th St, Newton, KS 67114 | 2006-12-28 |
| Find all providers in zip 67114 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508270737 | Jason Munro Slater | Radiology | 2014 Washington St, Newton, MA 02462-1607 | 2014-06-16 |
| 1003043548 | Andrea L Russo | Radiology | 2014 Washington St, Newton, MA 02462-1607 | 2009-06-11 |
| 1124174743 | Christine Cecelia Olsen | Radiology | 2000 Washington St, Newton, MA 02462-1650 | 2007-01-26 |
| 1003852385 | Brian David Berger | Radiology | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851821136 | Wichita Rt Associates LLC | Radiology | 9300 E 29th St N Ste 350, Wichita, KS 67226-2179 | 2017-06-19 |
| 1831501642 | Pro Physicians Clinic Pa | Radiology | 2077 N Webb Rd, Wichita, KS 67206-3411 | 2014-05-28 |
| 1265873905 | Yazan Asad Abuodeh | Radiology | 511 S Santa Fe Ave Ste A, Salina, KS 67401-4145 | 2013-07-10 |
| 1598105603 | Advanced Radiation Center of Kansas City LLC | Radiology | 6427 W 119th St, Suite G 1-4, Overland Park, KS 66209-2734 | 2013-07-03 |
| 1285948810 | Ronny L Rotondo | Radiology | 4001 Rainbow Blvd # Ms 4033, Kansas City, KS 66160-8504 | 2010-08-06 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1568698561 | Gregory Gan | Radiology | 4001 Rainbow Blvd # Ms 4001, Kansas City, KS 66160-4374 | 2009-06-04 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1780720607 | Kansas University Physicians Inc | Radiology | G006 Radiation Oncology, Mail Stop 4033 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1265510309 | Ronald C Chen | Radiology | 4001 Rainbow Blvd, Ms 4033, Kansas City, KS 66160-2539 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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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.