JEFFREY C.M. WONG (NPI# 1508933763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508933763 |
| Entity Type | Individual |
| Full Name | JEFFREY C.M. WONG |
| Credential | D.O. |
| Practice Address |
4643b Waimea Canyon Dr. Waimea HI 96796 |
| Mailing Address |
4643b Waimea Canyon Dr Waimea HI 96796 |
| Practice Telephone | 8083388311 |
| Practice Fax Number | 8083380225 |
| Mailing Telephone | 8083388311 |
| Mailing Fax Number | 8083380225 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DOS-683 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MDX | DOS683-01 | 01 | |
| KAISER | G40180 | 01 | |
| HI | 24873101 | 05 | |
| QUEST ALOHACARE | 49971600 | 01 | |
| UHA | 7100402 | 01 | |
| HMA | 518708 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1164790507 | Jeffrey Wong | Orthopaedic Surgery | 18785 Brookhurst St Ste 100, Fountain Valley, CA 92708-7300 | 2011-12-13 |
| 1013184498 | Jeffrey Y Wong | Dentist | 200 Brown Rd Ste 202, Fremont, CA 94539-7957 | 2008-05-14 |
| 1720087315 | Jeffrey Alan Wong | Pharmacist | 1333 Castro St, San Francisco, CA 94114-3620 | 2005-07-18 |
| 1922619139 | Jeffrey Hu Wong | Acupuncturist | 1530 S Union Ave Ste 4, Tacoma, WA 98405-1954 | 2020-08-11 |
| 1386136331 | Jeffrey Wong | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2018-06-05 |
| 1043691181 | Jeffrey Ling-yi Wong | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2015-06-15 |
| 1518271089 | Jeffrey Wong | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2010-07-27 |
| 1578893368 | Jeffrey J Wong | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2009-12-30 |
| 1174795348 | Jeffrey Mew Wong | Dentist | 1580 Winchester Blvd, Suite 204, Campbell, CA 95008-0519 | 2008-03-28 |
| Street Address |
4643B WAIMEA CANYON DR. |
| City | WAIMEA |
| State | HI |
| Zip Code | 96796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1033640297 | Amy Guyton | Family Medicine | 4643 Waimea Canyton Dr., Waimea, HI 96796 | 2017-03-21 |
| 1164894853 | Lianne Malapit | Pharmacist | 4643-a Waimea Canyon Dr., Waimea, HI 96796 | 2015-10-21 |
| 1871845859 | Sunshine Drug and Sundry LLC | Pharmacy | 9905 Waimea Road, Waimea, HI 96796 | 2012-10-15 |
| 1013199744 | Narreinar Pawsheun Williams | Obstetrics & Gynecology | 4643 Waimea Canyon Dr. Ste. B, Waimea, HI 96796 | 2007-12-05 |
| 1225191471 | St. Francis Medical Center - West Kauai Dialysis | Clinic/Center | 4643-a Waimea Canyon Road, Waimea, HI 96796 | 2006-12-19 |
| 1770653966 | Mary Catherine Sementi | Internal Medicine | 4643-b Waimea Canyon Drive, Waimea, HI 96796 | 2006-11-08 |
| 1073606224 | Iaomai 2 LLC | Durable Medical Equipment & Medical Supplies | 4643 A Waimea Canyon Dr, Waimea, HI 96796 | 2006-10-02 |
| 1366554370 | West Hawaii Imaging Services, Inc | Radiology | 4643a Waimea Canyon Drive, Waimea, HI 96796 | 2006-08-31 |
| 1003823949 | Kathie J Taylor | Registered Nurse | 4671 Hahai Street, Waimea, HI 96796 | 2006-08-02 |
| Find all providers in zip 96796 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013199744 | Narreinar Pawsheun Williams | Obstetrics & Gynecology | 4643 Waimea Canyon Dr. Ste. B, Waimea, HI 96796 | 2007-12-05 |
| 1407888977 | Surachat Chatkupt | Obstetrics & Gynecology | 4643b Waimea Canyon Drive, Waimea, HI 96796 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470560 | Olivia Hong Manayan | Obstetrics & Gynecology | 1319 Punahou St # 824, Honolulu, HI 96826-1080 | 2020-06-04 |
| 1134784325 | Elizabeth Mercer | Obstetrics & Gynecology | Kapiolani Medical Center, 1319 Punahou Street, #824, Honolulu, HI 96826 | 2019-05-03 |
| 1356864433 | Randall H. Hirata M.d., Inc. | Obstetrics & Gynecology | 82 Puuhonu Pl Ste 209, Hilo, HI 96720-2010 | 2017-07-20 |
| 1144759507 | Sharareh Firouzbakht | Obstetrics & Gynecology | 1319 Punahou Street, #824, Honolulu, HI 96826 | 2017-06-08 |
| 1801341151 | Ka Hua Medical, LLC | Obstetrics & Gynecology | 1329 Lusitana St Ste 709, Honolulu, HI 96813-2434 | 2016-08-16 |
| 1104290659 | Clayton Honbo | Obstetrics & Gynecology | 3109 Huelani Pl, Honolulu, HI 96822-7213 | 2015-11-20 |
| 1376930909 | Saki Onda | Obstetrics & Gynecology | 1319 Punahou St Ste 760&1110, Honolulu, HI 96826-1001 | 2015-04-21 |
| 1417367780 | Jennifer Marie Sit Inn Beair | Obstetrics & Gynecology | 1329 Lusitana St Ste 607, Honolulu, HI 96813-2431 | 2014-05-07 |
| 1851711592 | Mark Ramil Villarin | Obstetrics & Gynecology | 66-1125 Mamalahoa Highway, Kamuela, HI 96743 | 2014-04-21 |
| 1689019895 | Kasey Rei Kajiwara | Obstetrics & Gynecology | 98-1005 Moanalua Rd Spc 3010, Aiea, HI 96701-4735 | 2013-05-01 |
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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.