DR. TAI YUEN WONG (NPI# 1275055436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275055436 |
| Entity Type | Individual |
| Full Name | DR. TAI YUEN WONG |
| Credential | M.B.,CH.B. |
| Practice Address |
1101 Market St Ste 2820 Philadelphia PA 19107-2936 |
| Practice Telephone | 2155929750 |
| Practice Fax Number | 2155920129 |
| Mailing Telephone | 2157047177 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
C1-0004382 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952494064 | Tai Keong Wong | Family Medicine | 2203 W 35th St, Austin, TX 78703-1203 | 2006-10-02 |
| Street Address |
1101 MARKET ST STE 2820 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285936187 | Edward John Burkhard Jr. | Pathology | 1888 Brookhaven Dr W, Allentown, PA 18103-9696 | 2010-11-27 |
| 1952639601 | Kathleen S. Veglia, M.d. | Pathology | 1525 N. Churct St., Hazle Township, PA 18202 | 2009-11-18 |
| 1073585154 | Mark Brian Szymanski | Pathology | 405 S State St, Clarks Summit, PA 18411-1542 | 2006-02-03 |
| 1467438390 | Farrukh Azmi | Pathology | 5001 Centre Ave, 3rd Floor, Pittsburgh, PA 15213-1807 | 2005-12-22 |
| 1467438937 | Michael Lloyd Wallace | Pathology | 522 Alpha Dr, Pittsburgh, PA 15238-2912 | 2005-12-16 |
| 1316923717 | Michael Scott Rabkin | Pathology | 328 E. 8th Avenue, Tarentum, PA 15084 | 2005-12-16 |
| 1275807513 | Olga V Nikolskaia | Pathology | 1001 S George St, York, PA 17403-3676 | 2012-03-05 |
| 1194033993 | Jeanne Mcfalls | Pathology | 1200 Old York Rd, Abington, PA 19001-3720 | 2010-09-15 |
| 1821221623 | Lawrence David Hall | Pathology | 3805 W Chester Pike, Bldg D, Suite 120, Newtown Square, PA 19073-2329 | 2009-08-26 |
| 1457593501 | Trent Benjamin Marburger | Pathology | 5001 Centre Ave, 3rd Floor, Pittsburgh, PA 15213-1807 | 2009-04-02 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.