GEORGE K. WONG (NPI# 1316920903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316920903 |
| Entity Type | Individual |
| Full Name | GEORGE K. WONG |
| Credential | M.D. |
| Practice Address |
5979 Fashion Blvd Murray UT 84107-7364 |
| Practice Telephone | 8012632370 |
| Practice Fax Number | 8012651200 |
| Mailing Telephone | 8012632370 |
| Mailing Fax Number | 8012651200 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | 5951737-1205 | UT | Other Service Providers |
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5951737-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202236 | George Wong | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Hsb Room B 241, Seattle, WA 98195-0001 | 2020-03-30 |
| 1568529154 | George F Wong | Dentist | 2301 Camino Ramon Ste 100, San Ramon, CA 94583-4440 | 2007-01-02 |
| 1588639967 | George S Wong | Family Medicine | 2017 Pleasure House Rd, Virginia Beach, VA 23455 | 2006-02-21 |
| 1275997181 | George Raymond Wong | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2016-04-06 |
| 1346681517 | George Wong | Internal Medicine | 2201 45th St, West Palm Beach, FL 33407-2047 | 2013-07-16 |
| 1013945534 | George T Wong Jr. | Obstetrics & Gynecology | 632 W Gibson Rd, Woodland, CA 95695 | 2006-06-30 |
| 1386672103 | George C. Wong | Ophthalmology | 1500 N Dixie Hwy, Suite #201, West Palm Beach, FL 33401-2712 | 2006-06-29 |
| 1508801333 | George F Wong IIi | Psychiatry & Neurology | 3801 S National Ave, Suite 900, Springfield, MO 65807 | 2006-06-17 |
| Street Address |
5979 FASHION BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273844 | Gary P. Symkoviak | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-22 |
| 1932368925 | Jared Maurice Simpson | Physician Assistant | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2008-06-04 |
| 1972713568 | Adam Mohsin Elhaddi | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2007-05-23 |
| 1912087826 | William Marcus Brann | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2006-10-16 |
| 1013954411 | Heart and Lung Institute of Utah Inc | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2006-06-02 |
| 1144279019 | Bruce R. Kenwood | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2006-05-09 |
| 1750365193 | John A. Mchenry | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-30 |
| 1497738074 | Bard R. Madsen | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-28 |
| 1508849191 | Konstantyn Y. Szwajkun | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732366 | Chad Beckstead | Specialist | 4500 S 700 E Ste 203, Murray, UT 84107-3075 | 2015-02-12 |
| 1265653521 | Stacey M. Lawson | Specialist | 2209 Quail Creek Dr, Murray, KY 42071-2728 | 2007-05-02 |
| 1174747109 | Brent D Kennedy | Specialist | 5929 Fashion Blvd, Murray, UT 84107-7364 | 2007-04-12 |
| 1427171560 | Hl Hearing, Inc | Specialist | 5261 S State St, Murray, UT 84107-4828 | 2007-04-06 |
| 1508928763 | Sherman G Sorensen Md | Specialist | 5169 Cottonwood Street, Suite 610, Murray, UT 84107-5701 | 2006-12-14 |
| 1386737096 | Wasatch Neurological Clinic | Specialist | 6040 S. Fashion Blvd, #201, Murray, UT 84107 | 2006-10-02 |
| 1376566109 | Richard H. Stout | Specialist | 2957 Us Highway 641 N, Murray, KY 42071-7840 | 2006-07-25 |
| 1073557583 | Nathan B Eliason | Specialist | 677 W 5300 S, Murray, UT 84123-5671 | 2006-06-15 |
| 1881633733 | Toni L Tilton | Specialist | 1659 Ryan Ave, Murray, KY 42071-1768 | 2006-06-06 |
| 1609823426 | Mark A. Rosen | Specialist | 5911 Fashion Blvd, Suite 100, Murray, UT 84107-7352 | 2006-05-27 |
| Find all providers in MURRAY | ||||
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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.