DR. WESLEY BLAKE WONG (NPI# 1477610293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477610293 |
Entity Type | Individual |
Full Name | DR. WESLEY BLAKE WONG |
Credential | M.D. |
Practice Address |
220 Virginia Ave Mail No. In0205-a547 Indianapolis IN 46204-3709 |
Mailing Address |
4753 E 136th St Carmel IN 46033-9339 |
Practice Telephone | 3172878524 |
Mailing Telephone | 3178439146 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01031410A | IN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780604439 | Wesley Randall Wong | Pharmacist | 8337 Telegraph Rd Ste 101, Pico Rivera, CA 90660-4931 | 2006-07-19 |
1275065039 | Wesley Orianna Wong | Pediatrics | 455 E Columbia St, Long Beach, CA 90806-1620 | 2017-03-31 |
1083984942 | Wesley E Wong | Dentist | 4101 Tully Rd, Suite 201, Modesto, CA 95356-8980 | 2012-01-10 |
1790084077 | Wesley Wong | Health Educator | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2011-03-25 |
1437343894 | Wesley Wayne Wong | Student in an Organized Health Care Education/Training Program | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2007-08-29 |
1558413609 | Wesley H Wong | Pharmacist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-01-17 |
1497805600 | Wesley K Wong | Dentist | 501 Student Health, Irvine, CA 92697-5200 | 2007-01-11 |
1770554412 | Wesley Luke Wong | Internal Medicine | 1710 E West Rd, Honolulu, HI 96822-2317 | 2006-01-31 |
Street Address |
220 VIRGINIA AVE MAIL NO. IN0205-A547 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46204-3709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058556 | Raelynn Prokop | Dietitian, Registered | 220 Virginia Ave, Indianapolis, IN 46204-3632 | 2020-06-22 |
1366080020 | Aspire Caremore Health Partners, PC | Internal Medicine | 220 Virginia Ave, Indianapolis, IN 46204-3709 | 2019-12-12 |
1952844292 | Ourhealth Physicians Group, LLC | Clinic/Center | 220 Virginia Ave, Suite 1-1200, Indianapolis, IN 46204-3709 | 2016-11-18 |
1811391311 | Anthem Insurance Companies, Inc. | Health Maintenance Organization | 220 Virginia Ave, Indianapolis, IN 46204-3709 | 2014-10-14 |
1669703708 | Joe Blinn Fox | Internal Medicine | 220 Virginia Ave, In 0205-a547, Indianapolis, IN 46204-3709 | 2010-01-28 |
1811915408 | James E. Davis | Internal Medicine | 220 Virginia Ave, Indianapolis, IN 46204-3632 | 2006-07-18 |
1841244647 | Stanley D Reed | Internal Medicine | 220 Virginia Ave, Indianapolis, IN 46204-3709 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
Find all providers in zip 46204 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
1720213036 | Salvatore Spina | Psychiatry & Neurology | 1345 Hine St Apt 265, Indianapolis, IN 46202-3023 | 2009-05-16 |
1174709562 | Neurology Indiana, LLC | Psychiatry & Neurology | 7250 Clearvista Parkway, Suite 330, Indianapolis, IN 46256 | 2008-01-15 |
1578769188 | Daniel Sahlein | Psychiatry & Neurology | 355 W 16th St Ste 5100, Indianapolis, IN 46202-2274 | 2007-06-22 |
1366650327 | Ruth Ann Baird | Psychiatry & Neurology | 575 Riley Hospital Dr, Ri 1340, Indianapolis, IN 46202-5272 | 2007-05-21 |
1255548558 | Marcia Victoria Felker | Psychiatry & Neurology | 705 Riley Hospital Dr Ste 1340, Riley Hospital Child Neurology, Indianapolis, IN 46202-5109 | 2007-05-17 |
1992910186 | Rachel Marie Pfeiffer | Psychiatry & Neurology | 545 Barnhill Drive Eh 125, Indianapolis, IN 46202 | 2007-05-11 |
1295881894 | Bakul Patel | Psychiatry & Neurology | 3500 Depauw Blvd Ste 2082, Indianapolis, IN 46268-1137 | 2007-01-26 |
1548325707 | Melissa W Ko | Psychiatry & Neurology | 355 W 16th St Ste 3200, Indianapolis, IN 46202-2280 | 2006-12-27 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46204 |
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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.