DR. RICHARD W GONG (NPI# 1366459760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366459760 |
| Entity Type | Individual |
| Full Name | DR. RICHARD W GONG |
| Credential | MD |
| Practice Address |
Elm and Carlton Streets Buffalo NY 14263-3808 |
| Mailing Address |
601 Elmwood Ave Box 648 Rochester NY 14642-8648 |
| Practice Telephone | 7168452300 |
| Mailing Telephone | 5854873308 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
256327 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04924338 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Elmwood Ave, Rochester, NY 146423808 | 5854873308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346279189 | Richard John Gong | Surgery | 2455 Ne Loop 410, Ste 245, San Antonio, TX 78217 | 2006-07-02 |
| Street Address |
ELM AND CARLTON STREETS |
| City | BUFFALO |
| State | NY |
| Zip Code | 14263-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1215537204 | Carolyn Robinson | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-10-28 |
| 1578186862 | Alexandra Dione Huffman | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-05-21 |
| 1013538461 | Gordon Bolles | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-04-27 |
| 1396371746 | Tiffany Marie Meyers | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-03-18 |
| 1275172934 | Chereve Ferry | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-12-30 |
| 1255972386 | Rosh-neke Dezarae Thomas | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-09-30 |
| 1205486271 | Kimberly Lynn Murray | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14267-0002 | 2019-09-12 |
| 1629626098 | Danielle Wegrzyn | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-29 |
| 1588210827 | Katherine Mahar | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1972074797 | Roswell Park Pharmacy Corporation | Pharmacy | Elm & Carlton Sts., Buffalo, NY 14263 | 2018-12-06 |
| 1235617861 | Heather Marie Poushay | Student in an Organized Health Care Education/Training Program | 665 Elm Street Roswell Park Comprehensive Cancer Canter, Attn Michelle Rotella, Buffalo, NY 14263 | 2018-08-06 |
| 1205212594 | Neelam Sandhu | Student in an Organized Health Care Education/Training Program | Elm & Carlton Streets Oncological Surgical Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263 | 2015-08-10 |
| 1629413265 | Ivan Walter Cohen | Anesthesiology | Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263 | 2013-05-09 |
| 1811243041 | Priyanka Maridhi Nanjireddy | Pediatrics | Roswell Park/oishei Children's Cancer and Blood Disorde, 685 Elm Street, Buffalo, NY 14263 | 2012-07-25 |
| 1760552699 | Mohamed Mokhtar El Sayed Desouki | Pathology | Elm & Carlton Streets, Buffalo, NY 14263 | 2006-11-08 |
| 1851948194 | Jamie Kerner | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-08-21 |
| 1851856967 | Emily Taylor Haas | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-02-02 |
| 1083134928 | Megan Elizabeth Schaefer | Physician Assistant | Elm and Carlton St, Buffalo, NY 14263 | 2017-06-21 |
| Find all providers in zip 14263 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740403526 | Thomas Joseph Laudico | Radiology | Elm and Carlton Street, Buffalo, NY 14263-0001 | 2007-04-10 |
| 1346367935 | Andrew T Dunn | Radiology | 100 High St Fl 2, Buffalo, NY 14203-1126 | 2007-03-26 |
| 1508807769 | David A Paul | Radiology | 2828 Main St, Buffalo, NY 14214-1722 | 2006-06-09 |
| 1285692657 | Frank J Mascaro | Radiology | 222 Genesee St, Buffalo, NY 14203 | 2006-05-03 |
| 1053379412 | Robert E Lutnick | Radiology | 222 Genesee Street, Buffalo, NY 14203 | 2006-05-03 |
| 1568420149 | Wendy E Zimmer | Radiology | 32 Saint Catherines Ct, Buffalo, NY 14222-1614 | 2006-05-03 |
| 1477531598 | Charles Ray Gosnell | Radiology | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1548785140 | Jennifer Lynn Shotwell | Radiology | 462 Grider St, Buffalo, NY 14215-3021 | 2017-08-04 |
| 1669823175 | David Weinthrop Levine | Radiology | 832 Walden Ave, Buffalo, NY 14211-2639 | 2016-06-27 |
| Find all providers in BUFFALO | ||||
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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.