BONNIE WONG


Address: 902 Lakeview Ave, Southern Colorado Family Medicine, Pueblo, CO 81004-3798
Phone: 7195575872

BONNIE WONG (NPI# 1437404415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437404415
Entity Type Individual
Full Name BONNIE WONG
Credential DO
Practice Address 902 Lakeview Ave
Southern Colorado Family Medicine
Pueblo
CO 81004-3798
Mailing Address 2116 Wyoming Ave
Pueblo
CO 81004-3752
Practice Telephone 7195575872
Mailing Telephone 2069993950
Enumeration Date 2012-07-17
Last Update Date 2012-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine TL-4526 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO COLORADO TRAINING LICENSE NUMBER TL-4526 01

Other Providers BONNIE WONG

NPI Name Taxonomy Address Enumeration
1033523717 Bonnie Wong Psychiatry & Neurology 451 Clarkson Ave Rm B5110, Brooklyn, NY 11203-2097 2014-06-20
1215964853 Bonnie Wong Clinical Neuropsychologist Bidmc/behavioral Neurology Unit, 2nd Fl, 330 Brookline Avenue, Boston, MA 02215 2006-06-27
1184100257 Bonnie Wong Social Worker 100 George P Hassett Dr, Medford, MA 02155-3258 2018-07-12
1891157830 Bonnie Michelle Wong Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2016-03-28
1801908876 Bonnie X Wong Pharmacist 5901 E 7th St, Long Beach, CA 90822-5201 2006-08-31

Office Location

Street Address 902 LAKEVIEW AVE
SOUTHERN COLORADO FAMILY MEDICINE
City PUEBLO
State CO
Zip Code 81004-3798

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376549840 Laura A Stein Family Medicine 902 Lakeview Ave, Pueblo, CO 81004 2005-06-21
1972114676 Catholic Health Initiatives Colorado Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-08-14
1275154668 Alexander Thomas Grover Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-04-27
1336769843 Sydney Marie Brock Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-04-24
1225658172 Ashima Singh Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-04-21
1467072249 Joel Scott Bonzo Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-04-21
1023638053 Patrick Henke Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-04-20
1659991917 Kelsi Rae Brown Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2020-04-16
1205474210 John De Villa Nurse Practitioner 902 Lakeview Ave, Pueblo, CO 81004-3597 2019-12-20
1033773627 Queenter Kisang Family Medicine 902 Lakeview Ave, Pueblo, CO 81004-3597 2019-04-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1053895532 Rebecka Ann Reatherford Nurse Practitioner St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 2018-09-20
1124510821 Angela M Sillas-green Counselor 327 Colorado Ave., Pueblo, CO 81004 2018-05-30
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1578098752 James Williams Counselor 414 Broadway Ave, Pueblo, CO 81004 2017-04-26
1740732601 Valerie A Senger Counselor 635 W Corona Ave Ste 214, Pueblo, CO 81004 2016-10-26
1194111500 A New Leaf Therapy, Pllc Community/Behavioral Health 327 Colorado Ave, Pueblo, CO 81004 2015-04-13
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1730593112 Maritza Martinez Registered Nurse 1026 Wabriendo Ave, Pueblo, CO 81004 2014-06-13
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356992606 Kristie Lamotta Family Medicine 1600 N Grand Ave Ste 350, Pueblo, CO 81003-2729 2019-09-26
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1134484660 Aparna Seetharama Family Medicine 1600 N. Grand Ave, Ste 260, Pueblo, CO 81003-2729 2012-07-11
1710275037 Catholic Health Initiatives Colorado Family Medicine 916 Indiana Ave., Suite 120, Pueblo, CO 81004 2011-07-20
1124336169 Timothy J Cawlfield, Md, Pllc Family Medicine 41 Montebello Rd Ste 210, Pueblo, CO 81001-1379 2010-09-23
1639308828 Emma Iovane Stout Family Medicine 115 E. Riverwalk, Suite 200, Pueblo, CO 81003-2246 2009-07-08
1750510145 Wendy Alejandra Girard Family Medicine 1925 East Orman Avenue, Suite A109, Pueblo, CO 81004 2009-07-07
1881839694 Bryan A Hynes Family Medicine 415 N Grand Ave, Pueblo, CO 81003-3111 2008-12-08
1093988917 Louise Mcdade Family Medicine 8 Carlile Pl, Pueblo, CO 81004-1213 2008-04-11
1891914693 Prairie Medical Clinic Pllc Family Medicine 1726 S Prairie Ave, Pueblo, CO 81005-2253 2007-04-24
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Competitor

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City PUEBLO
Zip Code 81004

Improve Information

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Dataset Information

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.

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