DR. KENNETH TING-HUNG WONG (NPI# 1366479453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366479453 |
| Entity Type | Individual |
| Full Name | DR. KENNETH TING-HUNG WONG |
| Credential | M.D. |
| Practice Address |
30 Harrison St Ste 250 Johnson City NY 13790-2176 |
| Mailing Address |
33 Lewis Rd 2nd Floor Binghamton NY 13905 |
| Practice Telephone | 6077708600 |
| Practice Fax Number | 6077700853 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 162966-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01268639 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153977 | Kenneth Wong | Physician Assistant | 622 W 168th St # Vc-260, New York, NY 10032-3720 | 2016-05-31 |
| 1669826285 | Kenneth Richard Wong | Emergency Medicine | 525 East 68th Street, Mailbox 301, Ny Presbyterian Cornell- Emergency Medicine Residency, New York City, NY 10021 | 2016-04-20 |
| 1497988232 | Kenneth D Wong | Dentist | 13197 Central Ave Ste 103, Chino, CA 91710-4178 | 2009-08-27 |
| 1073775433 | Kenneth Wong | Otolaryngology | 6201 Greenbelt Rd Ste M11, Berwyn Heights, MD 20740-2333 | 2008-06-26 |
| 1033391925 | Kenneth L Wong | Pharmacist | 221 Westwood Plaza Room 222, Los Angeles, CA 90095-0001 | 2007-12-03 |
| 1104995307 | Kenneth C K Wong | Dentist | 6514 Lonetree Blvd, Rocklin, CA 95765 | 2006-11-06 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1235198854 | Kenneth Kang Wa Wong | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-03-22 |
| 1417949652 | Kenneth Wong | Family Medicine | 2444 Pine St, Bakersfield, CA 93301-2742 | 2005-08-15 |
| 1215935986 | Kenneth Edward Wong | Internal Medicine | 102 Twin Oaks Dr, Raceland, LA 70394-2760 | 2005-07-07 |
| Street Address |
30 HARRISON ST STE 250 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988266 | Hisham Kashou | Internal Medicine | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2005-08-09 |
| 1467070805 | Susan Boyko | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2020-07-13 |
| 1417589755 | Laura Sienkiewicz | Nutritionist | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2020-02-05 |
| 1619511540 | Nirgiz Taha | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2019-11-04 |
| 1043796717 | Rachel Marie Filetto | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2018-07-16 |
| 1295227981 | Jena Mullenax | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2018-05-30 |
| 1609395771 | Michael Artino | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2017-09-11 |
| 1245606490 | Jessie Lynn Flurschutz | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2015-08-11 |
| 1225435902 | Ashlee Brooke Fish | Nurse Practitioner | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2014-11-25 |
| 1790114924 | Rasha Aurshiya | Internal Medicine | 30 Harrison St Ste 250, Johnson City, NY 13790-2176 | 2013-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164793774 | Richard A Feit | Thoracic Surgery (Cardiothoracic Vascular Surgery) | East Tennessee State University Quillen College, Of Medicine Department of Academic Affairs, Johnson City, TN 37614-1708 | 2012-01-13 |
| 1376833210 | David Alan Baker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 912 Millercrest Dr, Johnson City, TN 37604-4315 | 2011-04-12 |
| 1912078254 | Kevin Casey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 | 2006-11-10 |
| 1801806062 | Binghamton Cardiovascular & Thoracic Surgeons, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41 Arch St, Johnson City, NY 13790-2101 | 2006-08-09 |
| 1043263783 | Charles William Raudat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 | 2006-05-17 |
| 1629030267 | Anthony J Palazzo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 | 2006-04-06 |
| 1427045996 | D Glenn Pennington | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 325 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986925 | Arthur Robert Dresdale | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 E 83rd St Apt 10b, New York, NY 10028-6265 | 2020-09-13 |
| 1366078677 | Philippe H Lemaitre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 Fort Washington Ave Ste 336, New York, NY 10032-3729 | 2020-03-18 |
| 1932734324 | Ismail El-hamamsy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mount Sinai Hospital (cardiovascular Surgery), 1190 5th Avenue, Gp 2w, New York, NY 10029 | 2020-03-06 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1386162287 | Chest Thoracic Surgery of Ny | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 326 Trumbull Rd, Manhasset, NY 11030-2117 | 2017-08-31 |
| 1598281131 | Suguru Ohira | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Woods Rd # Macy114w, Valhalla, NY 10595-1530 | 2017-08-15 |
| 1215303441 | Suffolk Thoracic Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23 Pheasant Ln, East Setauket, NY 11733-2634 | 2015-08-11 |
| 1962895680 | Usa Professional Medical Services of New York LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5920 Myrtle Ave, Ridgewood, NY 11385-5658 | 2015-03-05 |
| 1902297468 | Suffolk Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21 Vantage Ct, Port Jefferson, NY 11777-2242 | 2015-02-05 |
| 1720410756 | Luis E Cortes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 E 84th St, New York, NY 10028-7301 | 2013-08-01 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.