DR. MARIKO K WONG (NPI# 1497984454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497984454 |
| Entity Type | Individual |
| Full Name | DR. MARIKO K WONG |
| Other Name | DR. MARIKO KOYA |
| Credential | MD |
| Practice Address |
103 Garland St Everett MA 02149-5066 |
| Practice Telephone | 6713947703 |
| Practice Fax Number | 6173947804 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ML 60093908 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
269330 | MA | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD15008 | RI | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036.129630 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
103 GARLAND ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498378 | Gary Blair | Emergency Medicine | 103 Garland St, Everett, MA 02149-5066 | 2005-09-21 |
| 1093379737 | Lisa Marie Shoulders | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2019-04-29 |
| 1952964983 | Samantha Christine Bianchi | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2019-04-16 |
| 1851862080 | Nicole Theresa Desimone | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-12-16 |
| 1194210542 | Susan Catherine Reilly | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-06-28 |
| 1962995738 | Catherine Ande Sinelien | Respiratory Therapist, Registered | 103 Garland St, Everett, MA 02149-5066 | 2018-06-07 |
| 1912499625 | Karla Marie Osorio | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-05-30 |
| 1417447475 | Justin Puckett | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2018-05-15 |
| 1508362633 | Stephanie Healy | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-04-05 |
| 1639695554 | Beili Zhu | Physical Therapist | 103 Garland St, Everett, MA 02149-5066 | 2017-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316913130 | Nancy T. Kenney | Internal Medicine | 311 Hospital Dr, Suite 2, Everett, PA 15537-7022 | 2006-02-23 |
| 1316147879 | Saeid Elmi Md PC | Internal Medicine | 391 Broadway, Everett, MA 02149-3470 | 2007-07-23 |
| 1164578704 | Ajitha R. Palukuru | Internal Medicine | 2930 Maple St, Everett, WA 98201-3832 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487834 | Dsmd Consulting LLC | Internal Medicine | 7 Michelle Dr, Burlington, MA 01803-4510 | 2020-08-12 |
| 1013535632 | Alzheimers Disease Center | Internal Medicine | 54 Miller St Fl 4, Quincy, MA 02169-4725 | 2020-07-09 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1306220900 | Mariuxi Alexandra Viteri Malone | Internal Medicine | 725 Albany Street, Shapiro 9, Boston, MA 02118 | 2015-07-13 |
| 1548640105 | At Care, Pllc | Internal Medicine | 907 East St, Carlisle, MA 01741-1214 | 2015-06-08 |
| 1043620545 | Cynthia Schoettler | Internal Medicine | 110 Francis St Ste 1a, Boston, MA 02215 | 2014-05-06 |
| 1356778146 | East Coast Medical Associates Pllc | Internal Medicine | 149 Ashley St, Fall River, MA 02720-1511 | 2013-10-11 |
| 1437454287 | Geriatric Internal Medicine Specialists, LLC | Internal Medicine | 2 Kirkat Way, North Dartmouth, MA 02747-3860 | 2011-01-25 |
| 1306161443 | Aco Health Solutions, LLC | Internal Medicine | 651 Orchard St Ste 206, New Bedford, MA 02744-1007 | 2010-04-01 |
| 1013178698 | Geriatric Solutions | Internal Medicine | 370 Read St, Seekonk, MA 02771-1405 | 2008-06-17 |
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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.