JIMMY RONG (NPI# 1255894580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255894580 |
Entity Type | Individual |
Full Name | JIMMY RONG |
Practice Address |
1010 N Kansas St Ste 3023 Wichita KS 67214-3124 |
Practice Telephone | 1629326653 |
Mailing Telephone | 1629326653 |
Enumeration Date | 2019-04-12 |
Last Update Date | 2020-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
94-10403 | KS | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1010 N KANSAS ST STE 3023 |
City | WICHITA |
State | KS |
Zip Code | 67214-3124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
1568089621 | Maria Villavicencio Jimenez | Pediatrics | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-07-06 |
1992322051 | Julia Kononowicz | Pediatrics | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-07-06 |
1528685401 | Jessica Stephens | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-26 |
1841816840 | Jordan Marshall | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
1346866357 | Jordan Smith | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
1518583947 | Sidney Pearson | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-22 |
1528684297 | Michael Falahat | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-18 |
1083230734 | Samuel Bruna | Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-18 |
1376167668 | Mohamed Ibrahim | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
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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 |
---|---|---|---|---|
1205335551 | Elias O Bernard | Radiology | 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 | 2018-02-01 |
1760627616 | Gdx, P.a. | Radiology | 6120 Shadybrook St, Wichita, KS 67208-1862 | 2008-12-06 |
1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
1629162326 | Great Plains Imaging, LLC | Radiology | 8925 W Maple St, Wichita, KS 67209-1462 | 2006-10-03 |
1841209236 | Paul L Rodriguez | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2006-08-05 |
1376507590 | Line Diagnostics Inc | Radiology | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-04-14 |
1225034614 | Claudia A Lawn | Radiology | 144 S Hillside St, Wichita, KS 67211-2154 | 2005-06-22 |
1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
1790321479 | Anthony Francis Harrison | Radiology | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
1750843157 | Kyle A Kirkover | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-03 |
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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.