DR. CHARLES W WONG (NPI# 1063401248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063401248 |
| Entity Type | Individual |
| Full Name | DR. CHARLES W WONG |
| Credential | DO |
| Practice Address |
310 S Main St Hartford KY 42347-1129 |
| Mailing Address |
310 S Main St Po Box 148 Hartford KY 42347-1129 |
| Practice Telephone | 2702989136 |
| Practice Fax Number | 2702989039 |
| Mailing Telephone | 2702989136 |
| Mailing Fax Number | 2702989039 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2010-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2041 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1D65909921 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890314 | Charles Chu-li Wong | Internal Medicine | 1729 Kinneys Lane, Suite 203, Portsmouth, OH 45662-3167 | 2005-06-13 |
| 1588283766 | Charles Wong | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-08 |
| 1255508131 | Charles David Wong | Surgery | 9500 Stockdale Hwy, Suite #109, Bakersfield, CA 93311-3620 | 2008-05-10 |
| 1659394187 | Charles Men Wong | General Practice | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2006-07-25 |
| Street Address |
310 S MAIN ST |
| City | HARTFORD |
| State | KY |
| Zip Code | 42347-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877381 | Ohio County Hospital Corporation | Family Medicine | 20 Mcmurty Avenue, Hartford, KY 42347 | 2007-08-27 |
| 1831224112 | Joseph Stewart Mccarty | Dentist | 904 Main Street, Hartford, KY 42347 | 2007-02-23 |
| 1356482608 | Green River District Health Department | Public Health or Welfare | 1205 Oakwood Drive, Hartford, KY 42347 | 2007-02-09 |
| 1487715892 | Arthur Charles Anderson | Chiropractor | 1041 Hwy 231 N, Hartford, KY 42347 | 2006-12-12 |
| 1962500736 | Kimberly Jo Burden | Dentist | 112 Mcmurtry Ave, Hartford, KY 42347 | 2006-09-20 |
| 1043314693 | X-ray Associates | Radiology | 1211 N Main St, Ohio County Hospital, Hartford, KY 42347 | 2006-09-12 |
| 1164536140 | Ohio County Drugs Inc | Durable Medical Equipment & Medical Supplies | 1135 Spinks Shopping Cntr, Hartford, KY 42347 | 2006-08-18 |
| 1053321398 | Sabrina Lynne West | Social Worker | 121 Apple Alley, Hartford, KY 42347 | 2006-08-09 |
| 1104857432 | Jason Chad Sanders | Nurse Practitioner | 20 Mcmurtry Ave, Hartford, KY 42347 | 2006-07-05 |
| 1851322325 | Rita S. English | Nurse Practitioner | 20 Mcmurtry Avenue, Hartford, KY 42347 | 2006-07-05 |
| Find all providers in zip 42347 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891159596 | Andrea Leigh Gillis | Family Medicine | Family Medicine Center At Asylum Hill, 99 Woodland St, Hartford, CT 06105 | 2016-04-08 |
| 1366679565 | William C Popik | Family Medicine | 90 Goodwin Cir, Hartford, CT 06105-5205 | 2009-06-15 |
| 1093989519 | Vivian Olsen Simmons | Family Medicine | 169 2nd Avenue, Hartford, AL 36344-1219 | 2008-04-15 |
| 1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
| 1780877381 | Ohio County Hospital Corporation | Family Medicine | 20 Mcmurty Avenue, Hartford, KY 42347 | 2007-08-27 |
| 1912928169 | Collins Medical Associates 2 PC | Family Medicine | 95 Woodland St Fl 1, Hartford, CT 06105-1230 | 2006-07-22 |
| 1942225313 | Richard Thomas Kennedy | Family Medicine | 169 North Second Ave, Hartford, AL 36344 | 2006-07-13 |
| 1417908948 | Suzanne Gehl | Family Medicine | 1023 W State St, Hartford, WI 53027-2726 | 2006-05-12 |
| 1386609543 | Kellie Distefano | Family Medicine | 525 S Center St, Hartford, MI 49057-1362 | 2006-04-19 |
| 1851362180 | Kevin Lamont Collins | Family Medicine | 19 Woodland Street, Suite 42, Hartford, CT 06105 | 2006-01-26 |
| Find all providers in HARTFORD | ||||
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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.