Crystal Gr Kong-wong (NPI# 1043402530, PAC ID# 0143490839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043402530 |
| PAC ID by PECOS | 0143490839 |
| Professional Enrollment ID | I20110907001502 |
| Full Name | Crystal Gr Kong-wong |
| Organization Legal Name | ASSOCIATION OF UNIVERSITY PHYSICIANS |
| Address |
4915 25th Ave Ne 300 Uwnc Ravenna Clinic Seattle WA 98105-5668 |
| Phone Number | 2065257777 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446162697 |
| Number of Group Practice Members | 2496 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500008 | UNIVERSITY OF WASHINGTON MEDICAL CTR |
| 500001 | NORTHWEST HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 | 2065257777 | ASSOCIATION OF UNIVERSITY PHYSICIANS |
| 1355 N 205th St, Shoreline, WA 98133-3215 | 2065425656 | ASSOCIATION OF UNIVERSITY PHYSICIANS |
| Organization Legal Name | ASSOCIATION OF UNIVERSITY PHYSICIANS |
| Physicians | 2786 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alanna Marija Mozena | Internal Medicine | Association of University Physicians | 825 Eastlake Ave E, Seattle, WA 98109-4405 |
| Brooke E Parker | Family Medicine | Association of University Physicians | 1355 N 205th St, Shoreline, WA 98133-3215 |
| Yi Huang | Internal Medicine | Association of University Physicians | 1740 Nw Maple St, Suite 100, Issaquah, WA 98027-8127 |
| Patrick Ryan Harrison | Nurse Practitioner | Association of University Physicians | 13231 Se 36th St, Bellevue, WA 98006-7321 |
| Jennifer Erickson | Psychiatry | Association of University Physicians | 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065 |
| Diane E Wheeler | Physician Assistant | Association of University Physicians | 325 9th Ave, Seattle, WA 98104-2420 |
| Christopher Gia Duong | Nurse Practitioner | Association of University Physicians | 32018 23rd Ave S, Federal Way, WA 98003-6022 |
| Christopher B Chambers | Ophthalmology | Association of University Physicians | 908 Jefferson St, Seattle, WA 98104-2433 |
| Alisa Beth Kachikis | Obstetrics/gynecology | Association of University Physicians | 1959 Ne Pacific St, Seattle, WA 98195-0001 |
| Brett R Stacey | Interventional Pain Management | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Street Address |
4915 25TH AVE NE 300 UWNC RAVENNA CLINIC |
| City | SEATTLE |
| State | WA |
| Zip | 98105-5668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Stacey | Interventional Pain Management | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Peter M Mcgough | Family Medicine | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Marina K Kazulin | Nurse Practitioner | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Emily A Hilderman | Nurse Practitioner | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Pamela L Pentin | Family Medicine | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Neysa M Koury | Physician Assistant | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Ellen Anne Schur | Internal Medicine | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Lucy Hwang | Family Medicine | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Judith A Turner | Psychologist, Clinical | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Heather S Tick | Family Medicine | Association of University Physicians | 4915 25th Ave Ne 300, Uwnc Ravenna Clinic, Seattle, WA 98105-5668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Hapke | Psychologist, Clinical | 4026 Ne 55th St, Suite D, Seattle, WA 98105-2254 | |
| Karen Lee Nussbaum | Psychologist, Clinical | 4026 Ne 55th St A, Seattle, WA 98105-2254 | |
| Carol B Sheckter | Internal Medicine | Hawthorne Hills Internal Medicine Pllc | 4026 Ne 55th St, Suite F, Seattle, WA 98105-2254 |
| Jaime B Friedman | Internal Medicine | Hawthorne Hills Internal Medicine Pllc | 4026 Ne 55th St, Suite F, Seattle, WA 98105-2254 |
| Anne O Glasser | Psychologist, Clinical | 4026 Ne 55th St A, Seattle, WA 98105-2254 | |
| Susan R Holliday | Clinical Psychologist | 4026 Ne 55th St, Suite B, Seattle, WA 98105-2254 | |
| Peter N Moore | Psychologist, Clinical | 4026 Ne 55th St, Suite E200, Seattle, WA 98105-2263 | |
| Philip D Bohn | Clinical Social Worker | 4026 Ne 55th St, Suite E, Seattle, WA 98105-2264 | |
| Lara M Long | Chiropractic | 5901 Roosevelt Way Ne, Suite 101a, Seattle, WA 98105-2763 | |
| Rebecca A Long | Chiropractic | 5901 Roosevelt Way Ne, Suite 101a, Seattle, WA 98105-2763 | |
| Find all physicians in zip 98105 | |||
| City | SEATTLE |
| Zip Code | 98105 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEATTLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Crystal Gr Kong-wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.