SHANNON L. WONG (NPI# 1467606590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467606590 |
| Entity Type | Individual |
| Full Name | SHANNON L. WONG |
| Credential | M.D. |
| Practice Address |
Emile 42nd St Omaha NE 68198-0001 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025598363 |
| Practice Fax Number | 4025599513 |
| Mailing Telephone | 4025596195 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 29358 | NE | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 53627 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659347938 | Shannon L Wong | Pharmacist | 9300 Valley Childrens Place, Charlie Mitchell Childrens Clinic Mb01, Madera, CA 93636-3227 | 2006-02-27 |
| 1497753040 | Shannon M Wong | Optometrist | 11901 Jollyville Rd, Austin, TX 78759-2303 | 2005-07-08 |
| 1144710211 | Shannon Nathan Wong | Registered Nurse | 1131 San Felipe Rd, Hollister, CA 95023-2800 | 2018-05-15 |
| 1790164648 | Shannon Wong | Contractor | 449 Forest Ave, Portland, ME 04101-2029 | 2015-05-26 |
| 1316107816 | Shannon Lee Wong | Counselor | 15 Prospect St, Nashua, NH 03060-3923 | 2008-06-10 |
| Street Address |
EMILE 42ND ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474110 | Paul D. Larsen | Specialist | Emile 42nd St, Omaha, NE 68198-0001 | 2005-08-15 |
| 1487175261 | Jill R Nohl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Emile 42nd St, Omaha, NE 68198-0001 | 2017-06-30 |
| 1538697156 | Amy L Mitchell | Nurse Anesthetist, Certified Registered | Emile 42nd St, Omaha, NE 68198-0001 | 2017-05-26 |
| 1164957262 | Melissa M Kenney | Nurse Anesthetist, Certified Registered | Emile 42nd St, Omaha, NE 68198-0002 | 2017-04-26 |
| 1225577448 | Kathryn Anne Saalfeld | Physician Assistant | Emile 42nd St, Omaha, NE 68198-0001 | 2017-02-21 |
| 1871031351 | Joshua Simms | Physician Assistant | Emile 42nd St, Omaha, NE 68198-0001 | 2017-02-06 |
| 1164969648 | Rachel Ingebrigtsen | Physician Assistant | Emile 42nd St, Omaha, NE 68198-0001 | 2017-01-23 |
| 1073058186 | Alissa M Wormington | Nurse Practitioner | Emile 42nd St, Omaha, NE 68198-0001 | 2016-12-28 |
| 1649714510 | Tracy L Farrell | Physician Assistant | Emile 42nd St, Omaha, NE 68198-0001 | 2016-12-13 |
| 1407306327 | Amanda Hoffman | Nurse Practitioner | Emile 42nd St, Omaha, NE 68198-0001 | 2016-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982890364 | Douglas Jan Ramos | Plastic Surgery | 1301 S 75th St Ste 230, Omaha, NE 68124-1602 | 2007-09-19 |
| 1669564795 | David Robert Finkle | Plastic Surgery | 4911 S 118th St, Omaha, NE 68137-2213 | 2006-09-28 |
| 1265445944 | Steven Miles Denenberg | Plastic Surgery | 7640 Pacific St, Omaha, NE 68114 | 2006-08-14 |
| 1972525707 | Jason Jay Miller | Plastic Surgery | 17617 Burke St, Omaha, NE 68118-2259 | 2006-07-24 |
| 1801870332 | Richard J Bruneteau | Plastic Surgery | 8900 W Dodge Rd, Omaha, NE 68114-3302 | 2005-11-29 |
| 1114288032 | Sean C. Figy | Plastic Surgery | 111 N 175th St, Omaha, NE 68118-3579 | 2012-06-07 |
| 1265575625 | Deanna Armstrong Md PC | Plastic Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1033256920 | Steven B Black | Plastic Surgery | 987400 Nebraska Medical Ctr, Omaha, NE 68198-7400 | 2007-01-31 |
| 1467552695 | Aesthetic Surgical Images, P.C. | Plastic Surgery | 8900 W Dodge Rd, Omaha, NE 68114-3302 | 2006-09-25 |
| 1881638336 | Marie E. Montag | Plastic Surgery | 8900 W Dodge Rd, Omaha, NE 68114-3302 | 2006-06-15 |
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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.