JUSTIN CARMINE WONG (NPI# 1295979615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295979615 |
| Entity Type | Individual |
| Full Name | JUSTIN CARMINE WONG |
| Credential | M.D. |
| Practice Address |
20325 N 51st Ave Bldg 4 Ste. 124 Glendale AZ 85308-5674 |
| Mailing Address |
Po Box 271429 Salt Lake City UT 84127-1429 |
| Practice Telephone | 6027956300 |
| Practice Fax Number | 6234143311 |
| Mailing Telephone | 6027723800 |
| Mailing Fax Number | 4804226551 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 52139 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 152319 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346390614 | Justin Onshek Wong | Optometrist | 37 Clyde Rd Ste 104, Somerset, NJ 08873-5034 | 2007-01-11 |
| 1831574482 | Justin Wong | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2015-07-24 |
| 1699030940 | Justin Wyman Wong | Optometrist | 2280 E Carson St, Long Beach, CA 90807-3044 | 2012-07-11 |
| 1154688901 | Justin Wong | Dentist | 16111 Plummer St, North Hills, CA 91343 | 2012-04-18 |
| 1184919144 | Justin Lup-yun Wong | Internal Medicine | 8810 Highway 6 Ste 100, Missouri City, TX 77459-7104 | 2011-06-17 |
| 1073824397 | Justin Ching Lam Wong | Counselor | 3280 E Foothill Blvd, Pasadena, CA 91107-3103 | 2010-07-01 |
| 1689749145 | Justin Phillip Wong | Dentist | 5639 E 5th St, Ste C, Tucson, AZ 85711-2443 | 2006-11-21 |
| Street Address |
20325 N 51ST AVE BLDG 4 STE. 124 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643641 | Joseph Frank Raynak | Family Medicine | 20325 N 51st Ave, Suite 170, Glendale, AZ 85308-5674 | 2005-07-19 |
| 1801494208 | Tara Nicole Kirkpatrick | Dietitian, Registered | 20325 N 51st Ave, Bldg 9, Suite 166, Glendale, AZ 85308 | 2020-10-16 |
| 1407318298 | Az Surgery Center, LLC | Surgery | 20325 N 51st Ave, Bldg 7, Ste 156, Glendale, AZ 85308 | 2019-04-02 |
| 1467914259 | Adobe Ent & Allergy, LLC | Otolaryngology | 20325 N 51st Ave, Bldg 7, Ste 154, Glendale, AZ 85308 | 2019-04-02 |
| 1003308487 | Kimberly Nishiyama | Dietetic Technician, Registered | 20325 N 51st Ave, Glendale, AZ 85308-5674 | 2018-06-01 |
| 1700323524 | Karla Guadalupe Cabrera | Nurse Practitioner | 20325 N 51st Ave, Bldg 8 Ste 160, Glendale, AZ 85308-5674 | 2017-01-31 |
| 1881045375 | Tristine Bogle | Dietitian, Registered | 20325 N 51st Ave, Ste 166, Glendale, AZ 85308-4624 | 2016-06-26 |
| 1487019246 | Desert Dreams Anesthesia, Pllc | Anesthesiology | 20325 N 51st Ave, Suite 160, Glendale, AZ 85308-5674 | 2015-12-22 |
| 1548647936 | Yvonne Mclemore | Nurse Practitioner | 20325 N 51st Ave, Suite 160, Glendale, AZ 85308-5674 | 2015-05-05 |
| 1003225608 | Martha Reed | Homeopath | 20325 N 51st Ave, Suite 112, Glendale, AZ 85308-5674 | 2014-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1174014864 | Phoenix Orthopaedic Consultants, P.C. | Orthopaedic Surgery | 18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 | 2018-05-29 |
| 1346586013 | Integrated Medical Services Inc | Orthopaedic Surgery | 7330 N 99th Ave # 325, Glendale, AZ 85307-3003 | 2012-12-27 |
| 1558621870 | Nick Ghazarian | Orthopaedic Surgery | 222 W Eulalia St Ste 309, Glendale, CA 91204-2851 | 2012-05-21 |
| 1326360231 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18555 N 79th Ave Ste E101, Glendale, AZ 85308-8392 | 2010-02-18 |
| 1497935290 | Thomas B. Huizenga, M.d.,s.c. | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 | 2007-11-08 |
| 1164648242 | Frank Hyman Kanovsky | Orthopaedic Surgery | 655 N Central Ave, Suite 900, Glendale, CA 91203-1422 | 2007-04-18 |
| 1962628388 | Leah Cyran | Orthopaedic Surgery | 1500 E Chevy Chase Dr Ste 401b, Glendale, CA 91206-4152 | 2007-04-17 |
| 1134214091 | Vahan Cepkinian | Orthopaedic Surgery | 222 W Eulalia #300, Glendale, CA 91204 | 2006-10-04 |
| 1770684946 | Edward G Stokes | Orthopaedic Surgery | 610 North Central Avenue, 207, Glendale, CA 91203-1403 | 2006-09-26 |
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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.