KERI S. WONG (NPI# 1639321284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639321284 |
| Entity Type | Individual |
| Full Name | KERI S. WONG |
| Credential | M.D. |
| Practice Address |
14044 W Camelback Rd Suite 118 Litchfield Park AZ 85340-9428 |
| Practice Telephone | 6235472600 |
| Practice Fax Number | 6235471899 |
| Mailing Telephone | 6235472600 |
| Mailing Fax Number | 6235471899 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
48640 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RR MEDICARE | P01197934 | 01 |
| Street Address |
14044 W CAMELBACK RD SUITE 118 |
| City | LITCHFIELD PARK |
| State | AZ |
| Zip Code | 85340-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378479 | Loren L Faaborg | Obstetrics & Gynecology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2005-07-07 |
| 1205360559 | Acute Services Providerllc | Exclusive Provider Organization | 14044 W Camelback Rd, 118, Litchfield Park, AZ 85340-9428 | 2017-04-13 |
| 1144683061 | Litchfield Dental Care | Dentist | 14044 W Camelback Rd, Suite 106, Litchfield Park, AZ 85340-9428 | 2016-03-29 |
| 1538564778 | Patricia Jean Jalomo | Nurse Practitioner | 14044 W Camelback Rd, Ste 118, Litchfield Park, AZ 85340-9481 | 2014-10-30 |
| 1932528510 | Danielle Broadfoot | Nurse Practitioner | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2014-04-10 |
| 1851722342 | Jamie Tumbleson | Nurse Practitioner | 14044 W Camelback Rd, Suite 118 and 216, Litchfield Park, AZ 85340-9428 | 2013-12-09 |
| 1811237548 | Beth Ann Graupe | Clinical Nurse Specialist | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2013-02-16 |
| 1750642245 | Kay Stastny | Physical Therapy Assistant | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2012-05-31 |
| 1447545389 | Arizona Center for Hematology and Oncology, Plc | Urology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2011-06-17 |
| 1417265117 | Boston Interventional Pain Center, Pllc | Specialist | 14044 W Camelback Rd, Litchfield Park, AZ 85340-9428 | 2010-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104393826 | Nelson J. Mar Dds PC | Dentist | 5220 N. Dysart Rd #144, Litchfield Park, AZ 85340 | 2018-10-31 |
| 1841771920 | Harmony Health and Wellness Foundation | Clinic/Center | 5220 N Dysart Rd Building C, Litchfield Park, AZ 85340 | 2018-08-27 |
| 1346726676 | Vista Counseling and Consulting | Community/Behavioral Health | 501 East Plaza Circle, Suite 3, Litchfield Park, AZ 85340 | 2018-07-19 |
| 1982194148 | Melinda Michelle Melvin | Registered Nurse | 255 E Wigwam Blvd., Litchfield Park, AZ 85340 | 2018-05-14 |
| 1952803652 | Comfort Care Providers, LLC. | Physiological Laboratory | 555 E Plaza Cir Dr Ste C, Litchfield Park, AZ 85340 | 2018-03-08 |
| 1992204614 | Angelo J Maisano | Occupational Therapy Assistant | 4870 N Litchfield Road Suite #101, Litchfield Park, AZ 85340 | 2018-02-08 |
| 1114438645 | Lori Ann Compiani | Licensed Practical Nurse | 272 E. Sagebrush St., Litchfield Park, AZ 85340 | 2017-10-24 |
| 1265972947 | Christina Martinez | Specialist/Technologist | 4870 North Litchfield Rd #101, Litchfield Park, AZ 85340 | 2017-03-01 |
| 1457802019 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 13840 W. Camelback Rd, Suite 10, Litchfield Park, AZ 85340 | 2016-10-19 |
| 1336698034 | Judy Tooley | Licensed Practical Nurse | 255 E Wigwam Blvd, Litchfield Park, AZ 85340 | 2016-09-23 |
| Find all providers in zip 85340 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801213731 | Hemikaa Devakumar | Obstetrics & Gynecology | 14404 W Camelback Road, 118, Litchfield Park, AZ 85340 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113809 | Venus Surgical, LLC | Obstetrics & Gynecology | 8415 N Pima Rd Ste 292, Scottsdale, AZ 85258-4488 | 2019-09-18 |
| 1851955421 | Pelvic Medicine and Reconstructive Surgery LLC | Obstetrics & Gynecology | 9700 N 91st St Ste A103, Scottsdale, AZ 85258-5077 | 2019-04-29 |
| 1205173788 | Robert Lewis Wechsler | Obstetrics & Gynecology | 7275 N Scottsdale Rd, #1022, Scottsdale, AZ 85253-2604 | 2013-01-03 |
| 1396358818 | Arizona Center for Chronic Pelvic Pain | Obstetrics & Gynecology | 10290 N 92nd St Ste 207, Scottsdale, AZ 85258-4500 | 2020-08-25 |
| 1801384524 | Sarah Tuli Puri | Obstetrics & Gynecology | 5310 N La Cholla Blvd, Tucson, AZ 85741-3815 | 2018-04-27 |
| 1699138248 | Dana C Mckee | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-03-31 |
| 1932519204 | Rachael Haverland | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2014-05-07 |
| 1225357395 | Daniel Stone | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2010-05-27 |
| 1942449558 | Anthony Gaddi | Obstetrics & Gynecology | 6565 E Carondelet Dr Ste 300, Tucson, AZ 85710-2158 | 2009-02-05 |
| 1386839819 | Valley Urogynecology Associates Ltd | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2007-09-07 |
| Find all providers with the same taxonomy | ||||
| City | LITCHFIELD PARK |
| Zip Code | 85340 |
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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.