DEREK WONG (NPI# 1114374782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114374782 |
| Entity Type | Individual |
| Full Name | DEREK WONG |
| Credential | D.O. |
| Practice Address |
425 W 5th St East Liverpool OH 43920-2405 |
| Practice Telephone | 3303857200 |
| Mailing Telephone | 3303857200 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 64.014422 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44400 Bayview Ave, #47308, Clinton Township, MI 480381579 | 6266965857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286211 | Derek Wei-yun Wong | Behavior Technician | 1520 Pershing Dr Apt F, San Francisco, CA 94129-1096 | 2019-07-10 |
| 1427367135 | Derek Wong | Dentist | 2480 Howard Ave, San Carlos, CA 94070-4415 | 2010-09-29 |
| 1245464999 | Derek Wong | Dentist | 826 N Monterey St Apt A, Alhambra, CA 91801-6425 | 2009-05-11 |
| 1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
| 1356961338 | Derek Wong | Occupational Therapist | 35 Escuela Dr, Daly City, CA 94015-4003 | 2020-04-20 |
| 1811475858 | Derek Wong | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-01 |
| 1912280058 | Derek L Wong | Pharmacist | 8302 Old Sauk Rd, Middleton, WI 53562-4404 | 2011-09-26 |
| 1710218599 | Derek J Wong | Obstetrics & Gynecology | 1 Scripps Dr Ste 107, Sacramento, CA 95825-6206 | 2010-01-19 |
| Street Address |
425 W 5TH ST |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932775 | Veeraiah C Perni | Anesthesiology | 425 W 5th St, East Liverpool, OH 43920-2405 | 2005-09-13 |
| 1447871140 | Michael Graves | Family Medicine | 425 W 5th St, East Liverpool, OH 43920-2405 | 2020-05-04 |
| 1184245532 | Sean Patrick Hayes | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2498 | 2020-04-27 |
| 1326667817 | James Novobilsky | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2498 | 2020-04-14 |
| 1285263517 | David Uhlenberg | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2405 | 2020-04-07 |
| 1962031955 | Mohmad S Shaikh | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2498 | 2020-04-02 |
| 1033747613 | Amandeep Singh | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2498 | 2020-03-30 |
| 1457995615 | Michael James Toth | Family Medicine | 425 W 5th St, East Liverpool, OH 43920-2498 | 2019-10-31 |
| 1801457908 | Britain Ranee Wetzel | Podiatrist | 425 W 5th St, East Liverpool, OH 43920-2498 | 2019-06-28 |
| 1073179305 | Prince Afriyie Adomako | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2405 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395862 | Scholastic Health Services LLC | Internal Medicine | 517 Broadway St Ste 500, East Liverpool, OH 43920-3167 | 2018-11-24 |
| 1255685152 | Samuel Patrick Walker Jr. | Internal Medicine | 1305 Dairy Ln, East Liverpool, OH 43920-9764 | 2012-10-31 |
| 1811263072 | Neha Patel | Internal Medicine | 3038 Kingsridge Rd, East Liverpool, OH 43920-1110 | 2012-03-31 |
| 1659541373 | R W. Beatty, M.d., Inc. | Internal Medicine | 517 Broadway St, 500, East Liverpool, OH 43920-3167 | 2008-03-10 |
| 1902971807 | C A Cahall Md, Inc | Internal Medicine | 119 W 6th St, East Liverpool, OH 43920-2921 | 2006-11-24 |
| 1962573287 | Albert W.buch,do,inc | Internal Medicine | 16728 Saint Clair Ave, East Liverpool, OH 43920-9470 | 2006-11-10 |
| 1891864872 | Hira Rohela | Internal Medicine | 130 West 4th Street, East Liverpool, OH 43920 | 2006-11-06 |
| 1609968734 | Albert Waldemar Buch | Internal Medicine | 49674 N Park Cir, East Liverpool, OH 43920-8931 | 2006-09-28 |
| 1427069814 | Najeed Fazal | Internal Medicine | 332 W 6th Street, East Liverpool, OH 43920 | 2006-08-10 |
| 1295751113 | Mumtaz Husain | Internal Medicine | 15688 St Rt 170, East Liverpool, OH 43920 | 2006-07-14 |
| Find all providers in EAST LIVERPOOL | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
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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.