WILSON WONG


Address: 7 Shackleford West Blvd, Little Rock, AR 72211-3714
Phone: 5016645860

WILSON WONG (NPI# 1588658983) 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) 1588658983
Entity Type Individual
Full Name WILSON WONG
Credential MD
Practice Address 7 Shackleford West Blvd
Little Rock
AR 72211-3714
Practice Telephone 5016645860
Practice Fax Number 5016640889
Mailing Telephone 5016645860
Mailing Fax Number 5016640889
Enumeration Date 2005-08-31
Last Update Date 2012-04-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
E3348 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 146458001 05

Other Providers WILSON WONG

NPI Name Taxonomy Address Enumeration
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1902326234 Wilson Chin Wong Pharmacist 8288 Bermuda Sound Way, Boynton Beach, FL 33436-1726 2017-06-27
1376539429 Wilson Wong Dentist 2340 Irving St, Ste 105, San Francisco, CA 94122-1641 2005-09-23
1811013733 Wilson Wong Counselor 1722 S Lewis Rd, Camarillo, CA 93012-8520 2007-03-22
1255302097 Wilson Shen Wong Radiology 300 W Huntington Dr, Arcadia, CA 91007 2006-01-30

Office Location

Street Address 7 SHACKLEFORD WEST BLVD
City LITTLE ROCK
State AR
Zip Code 72211-3714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861485302 Scott L Beau Internal Medicine 7 Shackleford West Blvd, Little Rock, AR 72211 2005-08-30
1801411285 Allyson D Carroll Dietitian, Registered 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2020-06-11
1104476720 Abigail Grace Connerly Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-09-16
1013560655 Angela Denise Cheves Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-07-23
1922565233 Crystal E Meziere Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-22
1134685217 Felicia Mae Johnson Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-14
1588132948 Lauren Elizabeth Mcbride Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-11-05
1144705047 Cassandra Love Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-09-27
1457832842 Marissa Boggs Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-08-24
1568955441 Jared H Umland Physician Assistant 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467820928 Octavio Herrera-verdugo Internal Medicine 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 2015-09-14
1124317854 Wesley Martin Fiser Internal Medicine 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 2011-04-04
1316009731 Barry F Uretsky Internal Medicine 4301 Marham Avenue, S-304 Shorey Building, Little Rock, AR 72205 2006-12-14
1760580245 David Randal Hundley Internal Medicine 601 S Gaines St, Little Rock, AR 72201-4007 2006-09-20
1609887124 Alex N Orsini Internal Medicine 9501 Lile Dr Ste 600, Little Rock, AR 72205-6231 2006-08-10
1891719084 Eugene S Smith IIi Internal Medicine 4300 W Markham St, 111b, Little Rock, AR 72205-4024 2006-07-27
1265451769 James Lynn Davis Internal Medicine 415 N University Ave, Little Rock, AR 72205-3108 2006-07-18
1871547828 Hakan Paydak Internal Medicine 4301 W Markham St # 532, Little Rock, AR 72205-7199 2006-05-22
1073576625 Yalcin Hacioglu Internal Medicine 10100 Kanis Rd, Little Rock, AR 72205-6202 2006-04-06
1285628065 Joe L. Hargrove Internal Medicine 5315 W 12th St, Little Rock, AR 72204-1858 2005-09-07
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72211

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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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