KENNETH EDWARD WONG (NPI# 1215935986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215935986 |
Entity Type | Individual |
Full Name | KENNETH EDWARD WONG |
Credential | MD |
Practice Address |
102 Twin Oaks Dr Raceland LA 70394-2760 |
Mailing Address |
Po Box 4176 Houma LA 70361-4176 |
Practice Telephone | 9858374000 |
Practice Fax Number | 9855374074 |
Mailing Telephone | 9858760300 |
Mailing Fax Number | 9858720317 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2015-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11066R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | RR MEDICARE | 060048455 | 01 |
LA | 1663522 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992153977 | Kenneth Wong | Physician Assistant | 622 W 168th St # Vc-260, New York, NY 10032-3720 | 2016-05-31 |
1669826285 | Kenneth Richard Wong | Emergency Medicine | 525 East 68th Street, Mailbox 301, Ny Presbyterian Cornell- Emergency Medicine Residency, New York City, NY 10021 | 2016-04-20 |
1497988232 | Kenneth D Wong | Dentist | 13197 Central Ave Ste 103, Chino, CA 91710-4178 | 2009-08-27 |
1073775433 | Kenneth Wong | Otolaryngology | 6201 Greenbelt Rd Ste M11, Berwyn Heights, MD 20740-2333 | 2008-06-26 |
1033391925 | Kenneth L Wong | Pharmacist | 221 Westwood Plaza Room 222, Los Angeles, CA 90095-0001 | 2007-12-03 |
1104995307 | Kenneth C K Wong | Dentist | 6514 Lonetree Blvd, Rocklin, CA 95765 | 2006-11-06 |
1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
1235198854 | Kenneth Kang Wa Wong | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-03-22 |
1417949652 | Kenneth Wong | Family Medicine | 2444 Pine St, Bakersfield, CA 93301-2742 | 2005-08-15 |
1033680285 | Kenneth Wong | Pharmacist | 3160 N Rainbow Blvd, Las Vegas, NV 89108-4533 | 2018-12-16 |
Street Address |
102 TWIN OAKS DR |
City | RACELAND |
State | LA |
Zip Code | 70394-2760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497109979 | Murray Joseph Morella | Nurse Practitioner | 102 Twin Oaks Dr, Raceland, LA 70394-2760 | 2016-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
Find all providers in zip 70394 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902424583 | Ochsner Clinic LLC | Internal Medicine | 64040 Highway 434 Ste 100, Lacombe, LA 70445-3499 | 2020-07-09 |
1336776038 | Louisiana Community Health Center | Internal Medicine | 91 Westbank Expy Ste 440, Gretna, LA 70053-3678 | 2020-03-24 |
1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
1184140154 | Cardiovascular Specialty Care Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-08-21 |
1508388299 | Louisiana State University School of Medicine In New Orleans Faculty G | Internal Medicine | 120 Ochsner Blvd Ste 340, Gretna, LA 70056-5249 | 2017-07-13 |
1003348012 | Vascular Advantages of La, LLC | Internal Medicine | 10966 Laird Ln, Denham Springs, LA 70726-7963 | 2017-03-29 |
1104281476 | White Clover, LLC | Internal Medicine | 8835 Line Ave Ste 400, Shreveport, LA 71106-6730 | 2015-12-30 |
1538543574 | Prevail Heart Clinic of Ville Platte, LLC | Internal Medicine | 504 Jack Miller Rd Ste 8, Ville Platte, LA 70586-5600 | 2015-07-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KENNETH EDWARD WONG.
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.