SAMUEL WISCO ONG (NPI# 1619991544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619991544 |
| Entity Type | Individual |
| Full Name | SAMUEL WISCO ONG |
| Credential | M.D. |
| Practice Address |
49 Cleveland St Ste. 250 Crossville TN 38555-9716 |
| Practice Telephone | 9314848100 |
| Practice Fax Number | 9317079135 |
| Mailing Telephone | 9314848100 |
| Mailing Fax Number | 9317079135 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD37580 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | P00060241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356373310 | Samuel Ong | Emergency Medicine | 3700 South St, Lakewood, CA 90712-1419 | 2006-07-07 |
| Street Address |
49 CLEVELAND ST STE. 250 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-9716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208954 | Kimberly M Johnson | Obstetrics & Gynecology | 49 Cleveland St, Suite 240, Crossville, TN 38555-2855 | 2005-07-13 |
| 1154629459 | Tennessee Physician Consultants, PC | Orthopaedic Surgery | 49 Cleveland St, Crossville, TN 38555-9716 | 2011-03-10 |
| 1265746978 | Milligan Surgical Clinic | Surgery | 49 Cleveland St, Ste 310, Crossville, TN 38555-9716 | 2010-08-05 |
| 1518113679 | John Leslie Milligan | Surgery | 49 Cleveland St, Suite 310, Crossville, TN 38555-9716 | 2008-08-08 |
| 1053575472 | Tennessee Plateau Oncology Pllc | Specialist | 49 Cleveland St, Suite 270, Crossville, TN 38555-9716 | 2008-07-15 |
| 1669548210 | Margaret D Wilson | Nurse Practitioner | 49 Cleveland St, Suite 270, Crossville, TN 38555-9716 | 2006-11-27 |
| 1083784839 | Crossville Medical Oncology PC | Specialist | 49 Cleveland St, Suite 340, Crossville, TN 38555-9716 | 2006-11-09 |
| 1609963149 | The Group for Women LLC | Obstetrics & Gynecology | 49 Cleveland St, Suite 230, Crossville, TN 38555-9716 | 2006-10-06 |
| 1447279898 | David Carter Tabor | Internal Medicine | 49 Cleveland St, Suite 340, Crossville, TN 38555-9716 | 2006-07-18 |
| 1538125273 | Richard G Martin Jr. | Surgery | 49 Cleveland St, Suite 350, Crossville, TN 38555-9716 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386770816 | Kristine Louise Soly | Internal Medicine | 917 Hillcrest Dr, Crossville, TN 38555-8713 | 2007-02-26 |
| 1780779751 | Eyad K Aljamal | Internal Medicine | 320 South Main St, Crossville, TN 38555 | 2006-10-04 |
| 1538252010 | Cumberland Heart Clinic, Pllc | Internal Medicine | 49 Cleveland St., Ste. 250, Crossville, TN 38555 | 2006-10-02 |
| 1467417105 | Farrell D Pierson | Internal Medicine | 456 Wayne Ave, Crossville, TN 38555-4206 | 2006-04-18 |
| 1598778011 | Vianney Epina Villaruz | Internal Medicine | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 | 2006-08-14 |
| 1457383457 | Harold Mason Lowe | Internal Medicine | 9400 Sparta Hwy, Crossville, TN 38572-7282 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935437 | Cvc Pllc | Internal Medicine | 22 Deepwood Dr, Jackson, TN 38305-9679 | 2020-06-02 |
| 1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1902353444 | Hh Physician Care-elkton Tennessee | Internal Medicine | 1446 Bryson Road, Ardmore, TN 38449 | 2016-09-01 |
| 1902352750 | Rose Marie Robertson | Internal Medicine | 4003 Newman Pl, Nashville, TN 37204-4308 | 2016-08-31 |
| 1013374073 | Amg Crockett LLC | Internal Medicine | 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 | 2016-01-21 |
| 1821488727 | Bruce Wilson Md PC | Internal Medicine | 5885 Airline Rd, # 985, Arlington, TN 38002-5127 | 2015-01-29 |
| 1982013215 | Blue Ridge Medical Management Corporation | Internal Medicine | 1901 S Shady St Ste 1, Mountain City, TN 37683-2021 | 2014-08-12 |
| 1871835892 | Robert Maxwell Smith | Internal Medicine | 1004 Deep Woods Trl, Brentwood, TN 37027-6309 | 2013-03-18 |
| 1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.