KENNETH MATTHEW WONG (NPI# 1780685990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780685990 |
| Entity Type | Individual |
| Full Name | KENNETH MATTHEW WONG |
| Credential | M.D. |
| Practice Address |
3433 Nw 56th St Ste 400 Oklahoma City OK 73112-4430 |
| Mailing Address |
3433 N.w. 56th Street Suite 400 Oklahoma City OK 73112 |
| Practice Telephone | 4059473341 |
| Mailing Telephone | 4059473341 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2009-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18891 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
18891 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153977 | Kenneth Wong | Physician Assistant | 622 W 168th St # Vc-260, New York, NY 10032-3720 | 2016-05-31 |
| 1669826285 | Kenneth Richard Wong | Emergency Medicine | 525 East 68th Street, Mailbox 301, Ny Presbyterian Cornell- Emergency Medicine Residency, New York City, NY 10021 | 2016-04-20 |
| 1497988232 | Kenneth D Wong | Dentist | 13197 Central Ave Ste 103, Chino, CA 91710-4178 | 2009-08-27 |
| 1073775433 | Kenneth Wong | Otolaryngology | 6201 Greenbelt Rd Ste M11, Berwyn Heights, MD 20740-2333 | 2008-06-26 |
| 1033391925 | Kenneth L Wong | Pharmacist | 221 Westwood Plaza Room 222, Los Angeles, CA 90095-0001 | 2007-12-03 |
| 1104995307 | Kenneth C K Wong | Dentist | 6514 Lonetree Blvd, Rocklin, CA 95765 | 2006-11-06 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1235198854 | Kenneth Kang Wa Wong | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-03-22 |
| 1417949652 | Kenneth Wong | Family Medicine | 2444 Pine St, Bakersfield, CA 93301-2742 | 2005-08-15 |
| 1215935986 | Kenneth Edward Wong | Internal Medicine | 102 Twin Oaks Dr, Raceland, LA 70394-2760 | 2005-07-07 |
| Street Address |
3433 NW 56TH ST STE 400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719015 | George S Chrysant | Internal Medicine | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4430 | 2005-06-08 |
| 1003366865 | Kelsey Duncan | Dietitian, Registered | 3433 Nw 56th St, #970, Oklahoma City, OK 73112-4455 | 2016-10-05 |
| 1447616750 | Jacob Helt | Physician Assistant | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 | 2016-01-04 |
| 1780063933 | Parker Bon Martin | Physician Assistant | 3433 Nw 56th St, Ste 670, Oklahoma City, OK 73112-4455 | 2015-05-20 |
| 1356731384 | Whitney M Price | Physician Assistant | 3433 Nw 56th St, Ste 660, Oklahoma City, OK 73112-4455 | 2015-01-29 |
| 1134518764 | Jillian Chambers | Physician Assistant | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 | 2015-01-20 |
| 1770988859 | Sheila A Cowart | Registered Nurse | 3433 Nw 56th St, Ste 660, Oklahoma City, OK 73112-4455 | 2014-10-30 |
| 1093144628 | Julie A Groves | Clinical Nurse Specialist | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 | 2013-11-04 |
| 1699015206 | Bruce Dobey | Physician Assistant | 3433 Nw 56th St, Suite 950, Oklahoma City, OK 73112-4455 | 2013-02-19 |
| 1730426255 | Linda Suzanne Pitchford | Clinical Nurse Specialist | 3433 Nw 56th St, Bldg B Suite C-60, Oklahoma City, OK 73112-4455 | 2013-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479324 | Parkway H&v | Internal Medicine | 3200 Quail Springs Pkwy Ste 100, Oklahoma City, OK 73134-2698 | 2018-05-31 |
| 1003315946 | Cardiac Cin of Oklahoma City LLC | Internal Medicine | 10601 S Western Ave # 3, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1629118740 | Raghav Gupta | Internal Medicine | 5401 N Portland Ave Ste 380, Oklahoma City, OK 73112 | 2007-02-07 |
| 1801358981 | Cok Care of Ok, LLC | Internal Medicine | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
| 1053675157 | Amod Amritphale | Internal Medicine | 800 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2012-07-03 |
| 1578842910 | Zaid Alirhayim | Internal Medicine | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2011-08-16 |
| 1972822534 | Ohh Rural Clinics, LLC. | Internal Medicine | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2010-05-21 |
| 1083878342 | Bilal Saeed | Internal Medicine | 5224 E I 240 Service Rd Ste 201, Oklahoma City, OK 73135-2607 | 2008-07-16 |
| 1215127493 | Surya M Artham | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2007-07-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.