JENNY SUH WONG (NPI# 1881843142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881843142 |
| Entity Type | Individual |
| Full Name | JENNY SUH WONG |
| Practice Address |
6550 Fannin St Suite 1401 Houston TX 77030-2717 |
| Practice Telephone | 7134415200 |
| Practice Fax Number | 7137937428 |
| Mailing Telephone | 7134415200 |
| Mailing Fax Number | 7137937428 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA08414 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 002122 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA08414 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
013473-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT LICENSE | 002122 | 01 |
| TX | 323911303 | 05 | |
| TX | 323911304 | 05 | |
| TX | BCBS | 8583NP | 01 |
| TX | BCBS | 8765NY | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709104 | Jenny Wong | Optometrist | 9260 W Sunset Rd Ste 209, Las Vegas, NV 89148-4903 | 2020-08-03 |
| 1073143566 | Jenny Wong | Specialist | 38 Accacia St, Daly City, CA 94014-1503 | 2020-01-23 |
| 1669091971 | Jenny C Wong | Pharmacist | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-04-16 |
| 1386993152 | Jenny W Wong | Nurse Practitioner | 1 Compass Way Ste 200, East Bridgewater, MA 02333-1464 | 2012-09-07 |
| 1245515972 | Jenny Ying Wong | Nurse Practitioner | 1520 Stockton St, San Francisco, CA 94133-3354 | 2011-10-13 |
| 1487948808 | Jenny Wong | Student in an Organized Health Care Education/Training Program | 9220 Sunset Dr, Suite 101, Miami, FL 33173-3259 | 2011-06-02 |
| 1700195112 | Jenny L Wong | Oral & Maxillofacial Surgery | 14343 Bellflower Blvd, Bellflower, CA 90706-3135 | 2010-10-03 |
| 1689837742 | Jenny Wong | Family Medicine | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2008-07-08 |
| 1023157450 | Jenny Wong | Dentist | 5233 Geary Blvd, San Francisco, CA 94118-2817 | 2007-02-05 |
| 1992870364 | Jenny Wen-i Wong | Physical Therapist | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-11-21 |
| Street Address |
6550 FANNIN ST SUITE 1401 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365452 | Donald T. Donovan | Otolaryngology | 6550 Fannin St, Houston, TX 77030-2717 | 2005-06-08 |
| 1386268738 | Elisabeth Anne Plotner | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-06-02 |
| 1750901773 | Stephenia Chiazoka Nwogu | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-20 |
| 1174152086 | Okechukwu Onuma Okidi | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-02 |
| 1497396808 | Brandon V Barrera | Nurse Practitioner | 6550 Fannin St, Houston, TX 77030-2717 | 2019-10-07 |
| 1588215008 | Aaron Joel Spooner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6550 Fannin St, Houston, TX 77030-2717 | 2019-09-25 |
| 1376109785 | Paul Haddad | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-05-13 |
| 1275095325 | Jerica Podrat | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-04-05 |
| 1205318235 | William Henry Orme | Psychologist | 6550 Fannin St, Smith Tower, Suite 2509, Houston, TX 77030 | 2018-09-06 |
| 1922580661 | Ugochi Raina Ukachukwu | Registered Nurse | 6550 Fannin St, Houston, TX 77030-2717 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
| 1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
| 1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
| 1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
| 1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
| 1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
| 1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
| 1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
| Find all providers in HOUSTON | ||||
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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.