STACEY C WONG


Address: 1100 9th Ave, Seattle, WA 98101-2756
Phone: 2062236600

STACEY C WONG (NPI# 1255448643) 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) 1255448643
Entity Type Individual
Full Name STACEY C WONG
Credential MD
Practice Address 1100 9th Ave
Seattle
WA 98101-2756
Mailing Address 1100 9th Ave
Ms M4-pa
Seattle
WA 98101-2756
Practice Telephone 2062236600
Mailing Telephone 2065836025
Mailing Fax Number 2065155886
Enumeration Date 2006-08-23
Last Update Date 2011-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD00024920 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA IDAHO MEDICAID 805135200 01
WA 8303786 05
WA BLUE SHIELD WO6512 01
WA LABOR & INDUSTRY 0039587 01
WA AETNA/USHC SPECIALIST US0861513 01

Other Providers STACEY WONG

NPI Name Taxonomy Address Enumeration
1942727839 Stacey Wong Physical Therapist 319 S Cedar St, Spokane, WA 99201-7029 2017-08-23
1295270783 Stacey Mi Wong Physician Assistant 400 W 30th St, Los Angeles, CA 90007-3320 2016-12-20
1538473707 Stacey Laurin Wong Pharmacist 21508 73rd Ave, Oakland Gardens, NY 11364-2949 2010-07-30
1376788851 Stacey Angela Wong Acupuncturist 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 2008-12-11
1245498179 Stacey Lee Wong Physical Therapy Assistant 1555 Boren Dr, Ocoee, FL 34761-2989 2008-05-28

Office Location

Street Address 1100 9TH AVE
City SEATTLE
State WA
Zip Code 98101-2756

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770585002 Carolyn A Searles Nurse Practitioner 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 2005-05-31
1134728967 Xiaodi Feng Physician Assistant 1100 9th Ave, Seattle, WA 98101-2756 2020-10-22
1841898574 Allison Elizabeth Wong Genetic Counselor, MS 1100 9th Ave, Seattle, WA 98101-2756 2020-10-14
1558978346 Amy Frick Dietitian, Registered 1100 9th Ave, Seattle, WA 98101-2756 2020-09-25
1942814736 Chelsea Jackson Registered Nurse 1100 9th Ave, Seattle, WA 98101-2756 2020-08-31
1033737317 Rachel Kathleen Gibbons Pharmacist 1100 9th Ave, Seattle, WA 98101-2756 2020-07-13
1649896275 Christian James West Nurse Practitioner 1100 9th Ave, Seattle, WA 98101-2756 2020-06-19
1124643341 Carter Gisriel Nurse Anesthetist, Certified Registered 1100 9th Ave, Seattle, WA 98101-2756 2020-06-12
1578186680 Lisa Anne Leitzelar Social Worker 1100 9th Ave, Seattle, WA 98101-2756 2020-05-22
1922628809 Yekaterina Shchapina Registered Nurse 1100 9th Ave, Seattle, WA 98101-2756 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659987485 David James Sanders Internal Medicine 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 2020-09-17
1295356483 Yvette Marie Sampson Peer Specialist Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 2020-04-29
1699313353 Eunyoung Kim Pharmacist 925 Seneca Street, H3-pi, Seattle, WA 98101 2019-12-12
1407405657 Maryanne Wambui Mirie Registered Nurse Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 2019-09-10
1437714854 Bossakara Sokhom Student in an Organized Health Care Education/Training Program 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 2019-05-01
1841752516 Hai Quan Ngoc Truong Student in an Organized Health Care Education/Training Program 925 Seneca St, H8-gme, Seattle, WA 98101 2019-04-02
1134689318 Kaitlin Alyse Geck Student in an Organized Health Care Education/Training Program 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 2019-03-22
1659860088 Jaime Mauricio Jimenez Student in an Organized Health Care Education/Training Program Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 2018-05-01
1184156861 Benjamin Perin Student in an Organized Health Care Education/Training Program 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 2017-03-31
1316478258 John Robert Coleman Anesthesiology 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 2017-03-22
Find all providers in zip 98101

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790325710 Proliance Surgeons, Inc., P.s. Radiology 1101 Madison St Ste 580, Seattle, WA 98104-4305 2020-01-07
1447711544 Ashkan Jonathan Ahmadian Radiology 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 2019-03-29
1639653017 Radia Imaging Center Holdings LLC Radiology 1229 Madison St Ste 900, Seattle, WA 98104-1391 2018-09-20
1427546597 Kiet Van Vo Radiology 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 2018-04-24
1861846057 Ethan Hua Radiology Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 2016-04-14
1437537354 Mahmood Albahhar Radiology 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 2015-05-12
1336533991 Keegan Hovis Radiology 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 2015-03-22
1356740930 Mazen E Zawaideh Radiology 588 Bell St Unit 3705, Seattle, WA 98121-1923 2014-08-19
1962821991 Berthina B. Coleman Radiology 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 2014-04-07
1295153120 Peyvand Pordeli Radiology Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 2014-03-28
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98101

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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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