DR. MICHAEL WONG (NPI# 1972890424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972890424 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WONG |
| Credential | M.D. |
| Practice Address |
230 N Broad St Philadelphia PA 19102-1121 |
| Mailing Address |
50 E 76th St Apt 2a New York NY 10021-2708 |
| Practice Telephone | 2157627000 |
| Mailing Telephone | 3105620649 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT200435 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
283597 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| 1184002537 | Michael Walter Wong | Family Medicine | 2057 State Route 130, Jeannette, PA 15644-3801 | 2015-05-18 |
| 1083010854 | Michael Yuwei Wong | Pharmacist | 419 Downey Ln, Placentia, CA 92870-7515 | 2014-11-06 |
| 1710223540 | Michael Wong | Occupational Therapy Assistant | 3901 Cathedral Ave Nw Unit 319, Washington, DC 20016-5215 | 2012-12-26 |
| 1609140730 | Michael Jun Wong | Physical Therapist | 2430 Skillman Ave, Long Island City, NY 11101-4524 | 2012-03-07 |
| 1154602621 | Michael Dennis Wong | Psychologist | 35 Memorial Rd, 12a, Somerville, MA 02145-1702 | 2011-08-29 |
| 1982919734 | Michael Kin Chung Wong | Optometrist | 6506 Loisdale Rd Ste 102, Springfield, VA 22150-1815 | 2010-08-17 |
| 1093906836 | Michael J Wong | Specialist | 201 S Alvarado St Ste 618, Los Angeles, CA 90057-2386 | 2007-08-07 |
| 1811105752 | Michael Joseph Wong | Dentist | 5400 S Central Ave, Phoenix, AZ 85040-3040 | 2007-05-21 |
| Street Address |
230 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987854 | Ira R Stark | Radiology | 230 N Broad St, Philadelphia, PA 19102-1121 | 2005-07-29 |
| 1437793833 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-10-30 |
| 1780246124 | Danielle Nicole Melisiotis | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-07-06 |
| 1932761483 | Willaim Jorland Sierraalta | Surgery | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-07-05 |
| 1427610237 | Mark William Vanderland | Internal Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-07-01 |
| 1174184386 | Jonathan Maw | Radiology | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-27 |
| 1013578194 | Christi Gill | Family Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-27 |
| 1619538162 | Hrisi Gueorguieva | Family Medicine | 230 N Broad St, Philadelphia, PA 19102-1178 | 2019-06-25 |
| 1124689674 | Amir Yusef Abdulhay | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-25 |
| 1477114940 | Erin Elizabeth Hassel | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1033649975 | Dinh-huy Do Nguyen | Radiology | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2017-06-13 |
| 1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
| 1649632399 | Myron Blumberg | Radiology | 317 S 22nd St, Philadelphia, PA 19103-6528 | 2016-03-22 |
| 1144633074 | Daniel Robert Wahl | Radiology | 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 | 2014-06-09 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1831454867 | Ryan Michael Bonshock | Radiology | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 | 2012-07-05 |
| 1730498601 | Robert A Perkins Jr. | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2010-09-27 |
| 1457677007 | Michael Richard Acord | Radiology | 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 | 2010-04-07 |
| 1780918375 | Mollie Mcginley | Radiology | 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 | 2009-09-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on DR. MICHAEL WONG.
| 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.