CARSON WONG (NPI# 1669440814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669440814 |
| Entity Type | Individual |
| Full Name | CARSON WONG |
| Credential | MD |
| Practice Address |
400 Matthew St Ste 303 Marietta OH 45750-1656 |
| Mailing Address |
6900 Pearl Rd Second Floor Middleburg Heights OH 44130-3639 |
| Practice Telephone | 7403737828 |
| Practice Fax Number | 7403735898 |
| Mailing Telephone | 4408450900 |
| Mailing Fax Number | 4408429911 |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35052657 | OH | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 23694 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3154616 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6900 Pearl Rd, Second Floor, Middleburg Heights, OH 441303639 | 4408450900 | 4408429911 |
| 807 Farson St Ste 204a, Belpre, OH 457141069 | 7404233223 | 7404010437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639308885 | Carson Katsun Wong | Optometrist | 44 Sylvan Ave, Suite 1b, Englewood Cliffs, NJ 07632-2417 | 2009-07-09 |
| Street Address |
400 MATTHEW ST STE 303 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066617 | Casey J Shea | Nurse Practitioner | 400 Matthew St Ste 303, Marietta, OH 45750-1656 | 2018-06-13 |
| 1497185284 | Stacey M. Brown | Nurse Practitioner | 400 Matthew St Ste 303, Marietta, OH 45750-1656 | 2013-11-15 |
| 1396943114 | Michael Cameron Sweeney | Surgery | 400 Matthew St Ste 303, Marietta, OH 45750-1656 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447772348 | Georgia Urology Pa | Urology | 4800 Olde Towne Pkwy Ste 220, Marietta, GA 30068-4391 | 2017-07-12 |
| 1922185842 | Thomas H. Chun | Urology | 55 Whitcher St # 250, Marietta, GA 30060 | 2006-11-01 |
| 1346342128 | A Keith Levinson | Urology | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2006-09-02 |
| 1225033442 | James S Goodlet Jr. | Urology | 185 Blair Valley Dr Ne, Marietta, GA 30060-8033 | 2005-06-15 |
| 1679951180 | Anand Badri | Urology | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2015-05-16 |
| 1841619152 | Daniel Mollengarden | Urology | 55 Whitcher St Ne Ste 250, Marietta, GA 30060 | 2014-04-15 |
| 1881012391 | Akash A. Kapadia | Urology | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2014-04-01 |
| 1467883512 | Wellstar Medical Group, LLC | Urology | 55 Whitcher St Ne, Suite 250, Marietta, GA 30060-1155 | 2013-11-27 |
| 1659711547 | Reena Kabaria | Urology | 55 Whitcher St Ne Ste 250, Marietta, GA 30060 | 2013-06-25 |
| 1437416054 | Samuel Adam David | Urology | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2012-04-19 |
| Find all providers in MARIETTA | ||||
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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.