CHAD ISAAC BONG (NPI# 1609153782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609153782 |
| Entity Type | Individual |
| Full Name | CHAD ISAAC BONG |
| Credential | LAC, L.OM |
| Practice Address |
1618 South St Philadelphia PA 19146-1542 |
| Practice Telephone | 2672109877 |
| Mailing Telephone | 2672109877 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2012-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 1485 | CO | Other Service Providers |
| Y | 171100000X | Acupuncturist | OM000089 | PA | Other Service Providers |
| Street Address |
1618 SOUTH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174577712 | Bruce Donald Hopper Jr. | Family Medicine | 1618 South St, Ground Floor, Philadelphia, PA 19146-1542 | 2006-05-19 |
| 1609187665 | Bruce Hopper Jr Md LLC | Clinic/Center | 1618 South St, Ground Floor, Philadelphia, PA 19146-1542 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995258 | Holly Prescott | Acupuncturist | 2012 Walnut St, Philadelphia, PA 19103-5655 | 2020-03-03 |
| 1023661345 | Meridian Health Factory LLC | Acupuncturist | 128 N 10th St Fl 2, Philadelphia, PA 19107-2358 | 2019-07-17 |
| 1225680234 | Jeanne Marie Andrews | Acupuncturist | 116 W Abington Ave, Philadelphia, PA 19118-3937 | 2019-07-10 |
| 1639739246 | Mei Li | Acupuncturist | 1420 Locust St Unit R1a-3, Philadelphia, PA 19102-4223 | 2019-06-17 |
| 1184184327 | Lora Martin | Acupuncturist | 110 S 20th St Ste 200, Philadelphia, PA 19103-4486 | 2019-03-22 |
| 1396216149 | Jason Krantz | Acupuncturist | 16 N 3rd St # 3, Philadelphia, PA 19106-2113 | 2018-12-05 |
| 1649761677 | Dawn Webster | Acupuncturist | 466 N 10th St, Philadelphia, PA 19123 | 2018-05-25 |
| 1043728868 | Mikisa Wilder | Acupuncturist | 5502 Cedar Ave Apt 1a, Philadelphia, PA 19143-1930 | 2018-01-15 |
| 1295261477 | Fabric Spa, LLC | Acupuncturist | 728 S 4th St, Philadelphia, PA 19147-3120 | 2017-05-05 |
| 1073046058 | Super Acucare | Acupuncturist | 46 N 10th St Fl 1, Philadelphia, PA 19107-3005 | 2017-04-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
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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.