Gary Wong (NPI# 1144634221, PAC ID# 5698047348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144634221 |
| PAC ID by PECOS | 5698047348 |
| Professional Enrollment ID | I20170816000728 |
| Full Name | Gary Wong |
| Organization Legal Name | GEISINGER CLINIC |
| Address |
1800 E Park Ave State College PA 16803-6709 |
| Phone Number | 8142317000 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5395657001 |
| Number of Group Practice Members | 2590 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390268 | MOUNT NITTANY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1800 E Park Ave, State College, PA 16803-6709 | 8142317000 | GEISINGER CLINIC |
| Organization Legal Name | GEISINGER CLINIC |
| Physicians | 2646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Marie Elizabeth Trauger | Physical Therapy | Geisinger Clinic | 3 W Olive St, Scranton, PA 18508-2572 |
| Cassondra Andreychik Ellison | Dermatology | Geisinger Clinic | 16 Woodbine Lane, Geisinger Optometry, Danville, PA 17822-5240 |
| Catherine Patrick | Family Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Rebecca Anne Phillips | Physician Assistant | Geisinger Clinic | 14229 Route 35, Richfield, PA 17086-8711 |
| Tiffany A Becker | Family Medicine | Geisinger Clinic | 560 Pierce St, Kingston, PA 18704-5716 |
| Boris Gilyadov | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Jui Pandya | Ophthalmology | Geisinger Clinic | 10 Trieble Dr, Tunkhannock, PA 18657-7054 |
| James Eric Kasenchak | Ophthalmology | Geisinger Clinic | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 |
| Cassandra Phillips | Pediatric Medicine | Geisinger Clinic | 529 Terry Reiley Way, Pottsville, PA 17901-1774 |
| Corrine Ann Joy | Nurse Practitioner | Geisinger Clinic | 1201 Keystone Blvd, Pottsville, PA 17901-8982 |
| Street Address |
1800 E PARK AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip | 16803-6709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Robert Ridenour | Hospitalist | Mount Nittany Medical Center Health Services Inc | 1800 E Park Ave, Mount Nittany Physician Group, State College, PA 16803-6797 |
| Roderick E Cross | Emergency Medicine | Centre Emergency Medical Associates, PC. | 1800 E Park Ave, State College, PA 16803-6701 |
| Lynn S. Whittaker | Nurse Practitioner | Centre County Cancer Center | 1800 E Park Ave, State College, PA 16803-6797 |
| Candace R Good | Psychiatry | Mount Nittany Medical Center | 1800 E Park Ave, State College, PA 16803-6709 |
| Patrick A Jeanmenne | Diagnostic Radiology | Centre Diagnostic Imaging, PC | 1800 E Park Ave, State College, PA 16803-6709 |
| John C Coppes Jr. | Hospitalist | Geisinger Clinic | 1800 E Park Ave, State College, PA 16803-6709 |
| Benjamin Kuchta | Certified Registered Nurse Anesthetist (crna) | Mount Nittany Medical Center | 1800 E Park Ave, State College, PA 16803-6797 |
| Roy Kedem | Hospitalist | Mount Nittany Medical Center Health Services Inc | 1800 E Park Ave, Mount Nittany Physician Group, State College, PA 16803-6797 |
| Jennifer L Gilbert | Anesthesiology | Mount Nittany Medical Center | 1800 E Park Ave, State College, PA 16803-6797 |
| Todd Neufeld | Certified Registered Nurse Anesthetist (crna) | Mount Nittany Medical Center | 1800 E Park Ave, State College, PA 16803-6797 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Shultz | Nurse Practitioner | Nittany Valley Medical Associates, P.C. | 361 Presidents Dr, State College, PA 16803 |
| Krista Lin Sharer | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Jonathan White | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Morgan Johns | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Kelli J Simco | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Heather A Shevchik Obrien | Physician Assistant | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Joyce R Kantner | Nurse Practitioner | Geisinger Clinic | 1630 N Atherton St, State College, PA 16803-1416 |
| Hil Rizvi | Emergency Medicine | 2214 N Atherton St, Suite 100, State College, PA 16803-1544 | |
| Geronami P Kattupalli | Family Medicine | 2214 N Atherton St, Suite 100, State College, PA 16803-1544 | |
| Brian T Reid | Physician Assistant | Mount Nittany Medical Center Health Services Inc | 1700 Old Gatesburg Rd, State College, PA 16803-2276 |
| Find all physicians in zip 16803 | |||
| City | STATE COLLEGE |
| Zip Code | 16803 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STATE COLLEGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary 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.