STACEY C WONG (NPI# 1255448643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255448643 |
| Entity Type | Individual |
| Full Name | STACEY C WONG |
| Credential | MD |
| Practice Address |
1100 9th Ave Seattle WA 98101-2756 |
| Mailing Address |
1100 9th Ave Ms M4-pa Seattle WA 98101-2756 |
| Practice Telephone | 2062236600 |
| Mailing Telephone | 2065836025 |
| Mailing Fax Number | 2065155886 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00024920 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | IDAHO MEDICAID | 805135200 | 01 |
| WA | 8303786 | 05 | |
| WA | BLUE SHIELD | WO6512 | 01 |
| WA | LABOR & INDUSTRY | 0039587 | 01 |
| WA | AETNA/USHC SPECIALIST | US0861513 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727839 | Stacey Wong | Physical Therapist | 319 S Cedar St, Spokane, WA 99201-7029 | 2017-08-23 |
| 1295270783 | Stacey Mi Wong | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2016-12-20 |
| 1538473707 | Stacey Laurin Wong | Pharmacist | 21508 73rd Ave, Oakland Gardens, NY 11364-2949 | 2010-07-30 |
| 1376788851 | Stacey Angela Wong | Acupuncturist | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2008-12-11 |
| 1245498179 | Stacey Lee Wong | Physical Therapy Assistant | 1555 Boren Dr, Ocoee, FL 34761-2989 | 2008-05-28 |
| Street Address |
1100 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585002 | Carolyn A Searles | Nurse Practitioner | 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 | 2005-05-31 |
| 1134728967 | Xiaodi Feng | Physician Assistant | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-22 |
| 1841898574 | Allison Elizabeth Wong | Genetic Counselor, MS | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-14 |
| 1558978346 | Amy Frick | Dietitian, Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-09-25 |
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1033737317 | Rachel Kathleen Gibbons | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-07-13 |
| 1649896275 | Christian James West | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-19 |
| 1124643341 | Carter Gisriel | Nurse Anesthetist, Certified Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-12 |
| 1578186680 | Lisa Anne Leitzelar | Social Worker | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-05-22 |
| 1922628809 | Yekaterina Shchapina | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1447711544 | Ashkan Jonathan Ahmadian | Radiology | 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 | 2019-03-29 |
| 1639653017 | Radia Imaging Center Holdings LLC | Radiology | 1229 Madison St Ste 900, Seattle, WA 98104-1391 | 2018-09-20 |
| 1427546597 | Kiet Van Vo | Radiology | 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 | 2018-04-24 |
| 1861846057 | Ethan Hua | Radiology | Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 | 2016-04-14 |
| 1437537354 | Mahmood Albahhar | Radiology | 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 | 2015-05-12 |
| 1336533991 | Keegan Hovis | Radiology | 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 | 2015-03-22 |
| 1356740930 | Mazen E Zawaideh | Radiology | 588 Bell St Unit 3705, Seattle, WA 98121-1923 | 2014-08-19 |
| 1962821991 | Berthina B. Coleman | Radiology | 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 | 2014-04-07 |
| 1295153120 | Peyvand Pordeli | Radiology | Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 | 2014-03-28 |
| Find all providers in SEATTLE | ||||
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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.