DR. DEBRA A WONG (NPI# 1215166335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215166335 |
| Entity Type | Individual |
| Full Name | DR. DEBRA A WONG |
| Credential | M.D. |
| Practice Address |
625 N 6th St Phoenix AZ 85004 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6024068222 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
47388 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A117617 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13400 E Shea Blvd, Scottsdale, AZ 852595452 | 4803018000 | |
| 1500 Duarte Rd, Duarte, CA 910103012 | 6262564673 | |
| 625 N 6th St, Phoenix, AZ 850042155 | 6024068222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487171286 | Debra Lwin Wong | Community Health Worker | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2017-08-23 |
| 1497816920 | Debra K Wong | Pharmacist | 27300 Wixom Rd, Novi, MI 48374 | 2006-12-12 |
| 1720074909 | Debra Gail Wong | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2005-09-23 |
| Street Address |
625 N 6TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735585 | Panagiotis Mihalis Fidias | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2005-10-27 |
| 1477048957 | Heather Betts | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-06-26 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1619481132 | Ginka Conrey | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2017-11-20 |
| 1427406719 | Kimberly J Halla | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-05-27 |
| 1720440548 | Uacc St. Jospeh's Hospital and Medical Center | Clinic/Center | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-03-22 |
| 1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
| 1093180770 | Mandy Cornelius | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-12-07 |
| 1245604446 | Laurie Mann | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-25 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1972766772 | Foluso N Ogunleye | Internal Medicine | 9250 N 3rd St Ste 3010, Phoenix, AZ 85020 | 2008-07-02 |
| 1740392893 | Teresita Co Barnett | Internal Medicine | 14660 N Coral Gables Dr, Phoenix, AZ 85023-6285 | 2006-08-31 |
| 1972555688 | Jerry Alan Olshan | Internal Medicine | 334 E Hatcher Rd, Phoenix, AZ 85020-2536 | 2006-05-17 |
| 1033161757 | Southwest Oncology & Hematology, PC | Internal Medicine | 3411 N 5th Avenue, Suite 400, Phoenix, AZ 85013-3899 | 2006-05-17 |
| 1205804283 | Mazen Khattab | Internal Medicine | 19646 N 27th Ave Ste 406, Phoenix, AZ 85027-4028 | 2006-03-08 |
| 1083698955 | Surabhi Amar | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2005-12-02 |
| 1659363794 | Sucai Bi | Internal Medicine | 1441 N. 12th St, Phoenix, AZ 85006 | 2005-08-16 |
| 1093008336 | Amber L Flaherty | Internal Medicine | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2011-05-19 |
| 1003056425 | Northwest Oncology & Hematology, Pllc | Internal Medicine | 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 | 2009-02-25 |
| Find all providers in PHOENIX | ||||
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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.