DR. LISA MEI-INN WONG (NPI# 1336130954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336130954 |
| Entity Type | Individual |
| Full Name | DR. LISA MEI-INN WONG |
| Credential | MD |
| Practice Address |
10 Hawthorne Pl Suite 110 Boston MA 02114-2336 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177240924 |
| Practice Fax Number | 6177243413 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 55558 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3004538 | 05 | |
| MA | TUFTS HEALTH PLAN | 719240 | 01 |
| MA | BCBS MA | J05372 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514338 | Lisa Kanata Wong | Student in an Organized Health Care Education/Training Program | Department of Pathology, 300 Pasteur Drive, Edwards Building, R204, Mc: 5324, Palo Alto, CA 94305-4245 | 2018-04-04 |
| 1780821223 | Lisa Kar Ying Wong | Acupuncturist | 18988 Cox Ave Ste C, Saratoga, CA 95070-4154 | 2009-01-20 |
| 1427225499 | Lisa Lai Wong | Pharmacist | 50 Bowery, New York, NY 10013-4801 | 2008-05-09 |
| 1962605428 | Lisa S Wong | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2007-06-11 |
| 1598825465 | Lisa Wong | Acupuncturist | 5700 Ralston St. Ste. 110, Ventura, CA 93003 | 2006-12-11 |
| 1053963363 | Lisa Amanda Wong | Optometrist | 350 Fairview Ave, Hudson, NY 12534-1224 | 2019-07-16 |
| 1881104610 | Lisa Marie Wong | Dietitian, Registered | 648 Taylor Rd, Gahanna, OH 43230-3202 | 2017-10-06 |
| 1396298667 | Lisa Susann Wong | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2016-08-03 |
| 1376927954 | Lisa Wong | Pharmacist | 720 3rd Ave, Chula Vista, CA 91910-5804 | 2015-07-14 |
| 1285038661 | Lisa Wong | Pharmacist | 8515 Sw Tualatin Sherwood Rd, Tualatin, OR 97062-7583 | 2014-10-14 |
| Street Address |
10 HAWTHORNE PL SUITE 110 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785572 | Rebecca Niloff | Pediatrics | 10 Hawthorne Pl, Ste 110, Boston, MA 02114-2336 | 2005-10-25 |
| 1164763090 | Peter L. Lou Md | Ophthalmology | 10 Hawthorne Pl, Suite 106, Boston, MA 02114-2336 | 2013-03-01 |
| 1558620997 | Riley Dental Associates, LLC | Clinic/Center | 10 Hawthorne Pl, Suite 102, Boston, MA 02114-2336 | 2012-05-04 |
| 1992862247 | David W. Lhowe, M.d., P.C. | Orthopaedic Surgery | 10 Hawthorne Pl, Suite 114, Boston, MA 02114-2336 | 2007-01-03 |
| 1477626190 | Peter Lou, M.d. P.C. | Ophthalmology | 10 Hawthorne Pl, Suite 106, Boston, MA 02114-2336 | 2006-11-17 |
| 1952315954 | Ralph B Sozio Dmd PC | Dentist | 10 Hawthorne Pl, Suite 102, Boston, MA 02114-2336 | 2006-07-28 |
| 1730101767 | Edwin J Riley IIi | Dentist | 10 Hawthorne Pl, Suite 102, Boston, MA 02114-2336 | 2006-07-25 |
| 1487639274 | John Conyngham Robinson | Pediatrics | 10 Hawthorne Pl, Milton Pediatric Associates Mgh Ste 110 H 10 110, Boston, MA 02114-2336 | 2005-12-14 |
| 1770565780 | Pauline C Pappas | Pediatrics | 10 Hawthorne Pl, Ste 110, Boston, MA 02114-2336 | 2005-11-16 |
| 1326039975 | David W Lhowe | Orthopaedic Surgery | 10 Hawthorne Pl, Suite 115, Boston, MA 02114-2336 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1083148167 | Daniel Digiacomo | Pediatrics | 55 Fruit St # 165, Boston, MA 02114-2621 | 2017-04-17 |
| 1568814283 | Jessica Leigh Dicarlo | Pediatrics | 800 Tufts Medical Center, Box 286, Department of Pediatrics, Boston, MA 02111-1651 | 2016-07-06 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| 1255793493 | Kelsey A. Egan | Pediatrics | 840 Harrison Ave # Menino4, Boston, MA 02118-2905 | 2016-03-27 |
| 1851787626 | Tierney Mancuso Morrison | Pediatrics | 300 Longwood Ave # 961, Boston, MA 02115-5724 | 2015-04-08 |
| 1710379797 | Marleny Yordania Aquino Cabrera | Pediatrics | 725 Albany St Ste 8c, Boston, MA 02118-2526 | 2015-02-27 |
| 1558762203 | Desiree Sierra Velez | Pediatrics | 32 Fruit St Fl 6, Boston, MA 02114-2620 | 2014-09-12 |
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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.