KOK L. CHONG (NPI# 1972681542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972681542 |
| Entity Type | Individual |
| Full Name | KOK L. CHONG |
| Credential | MD |
| Practice Address |
800 Lomax St Suite 100a Jacksonville FL 32204-3927 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Attn: Credentialing Department Malvern PA 19355-1407 |
| Practice Telephone | 9043533664 |
| Practice Fax Number | 9043533858 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 6106448909 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME105841 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A63517 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001743900 | 05 |
| Street Address |
800 LOMAX ST SUITE 100A |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427100932 | Calvin Henry Hudson | Neurological Surgery | 800 Lomax St, Ste 118, Jacksonville, FL 32204 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189739 | James K St George | Radiology | 8767 Perimeter Park Blvd, Jacksonville, FL 32216-5479 | 2005-08-01 |
| 1003478827 | Physician Group Holdings, LLC | Radiology | 10210 San Jose Blvd Ste 4, Jacksonville, FL 32257-6271 | 2019-07-01 |
| 1992294938 | Christopher Gammarano | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2018-05-04 |
| 1457770604 | Jehan L Shah | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2014-04-15 |
| 1184069411 | Altan Fareed Ahmed | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2013-04-30 |
| 1902169527 | Daniel George | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2012-06-19 |
| 1336408020 | Saeed Bashir | Radiology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2012-05-15 |
| 1659639169 | Zlatko Devcic | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2012-05-03 |
| 1669771168 | American Access Care of Jacksonville LLC | Radiology | 2416 Dunn Ave, Jacksonville, FL 32218-4604 | 2011-03-23 |
| 1427367770 | Vascular Access Center of Jacksonville LLC | Radiology | 6820 Southpoint Pkwy, Jacksonville, FL 32216-6276 | 2010-10-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on KOK L. CHONG.
| 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.