KYLE WONG (NPI# 1063897395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063897395 |
| Entity Type | Individual |
| Full Name | KYLE WONG |
| Credential | DO |
| Practice Address |
4742 Nw Riverside Dr Riverside MO 64150-1102 |
| Mailing Address |
801 Pole Line Rd W Twin Falls ID 83301-5810 |
| Practice Telephone | 7026108894 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2020-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 6278 | OK | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 6278 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467631325 | Kyle R Wong | Dentist | 416 W Las Tunas Dr Ste 102, San Gabriel, CA 91776-1236 | 2007-10-29 |
| 1396945473 | Kyle Wong | Physical Therapist | 212b Main St, Colonial Plaza, Williamstown, MA 01267-2641 | 2007-07-18 |
| Street Address |
4742 NW RIVERSIDE DR |
| City | RIVERSIDE |
| State | MO |
| Zip Code | 64150-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053437392 | Sunflower Dermatology & Day Spa LLC | Dermatology | 1805 Nw Platte Rd., Suite 120, Riverside, MO 64150 | 2007-03-21 |
| 1376160515 | Abigail Hardy Rives | Social Worker | 4800 Nw Cliff View Dr Apt 402, Riverside, MO 64150-1207 | 2020-07-04 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1801908967 | 4700 Cliff View Drive Operating Company LLC | Skilled Nursing Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2006-08-31 |
| 1548883549 | Elizabeth Danielle Ham | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2020-05-26 |
| 1730503558 | Kimberly Cowgill | Registered Nurse | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2014-02-13 |
| 1033462114 | Stacey Jo Russell | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2012-10-26 |
| 1487869772 | Integrated Health Services of Cliff Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2007-05-11 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| 1356339279 | Kendallwood Hospice Company | Hospice Care, Community Based | 2908 Nw Vivion Rd, Riverside, MO 64150-1502 | 2005-10-13 |
| Find all providers in zip 64150 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1093019606 | Airtime Respiratory Care | Hospitalist | 3638 University Ave Ste 248, Riverside, CA 92501-3331 | 2010-12-23 |
| 1548472103 | Rpn Hospitalist, Inc. | Hospitalist | 1650 Iowa Ave, Suite 220, Riverside, CA 92507-2472 | 2007-05-04 |
| 1467814145 | Bethlehem Gudayu Zeleke | Hospitalist | 4445 Magnolia Ave, Gme Office, Riverside, CA 92501-4135 | 2016-03-22 |
| 1699157701 | Providence Healthcare Partners,, Inc | Hospitalist | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2015-06-25 |
| 1225441058 | Alexander Friedman | Hospitalist | 900 University Ave, Riverside, CA 92521-0001 | 2014-06-10 |
| 1851657712 | Allcare Hospitalists, Inc | Hospitalist | 4100 Central Ave, Suite 106, Riverside, CA 92506-2933 | 2012-04-05 |
| 1164722682 | Riverside Incare Hospitalists, Inc | Hospitalist | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2010-11-01 |
| 1144462581 | Taraneh Sarlati | Hospitalist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2009-03-31 |
| 1881628212 | Shree Krishnan | Hospitalist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-07-10 |
| Find all providers in RIVERSIDE | ||||
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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.