WILSON WONG (NPI# 1588658983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588658983 |
| Entity Type | Individual |
| Full Name | WILSON WONG |
| Credential | MD |
| Practice Address |
7 Shackleford West Blvd Little Rock AR 72211-3714 |
| Practice Telephone | 5016645860 |
| Practice Fax Number | 5016640889 |
| Mailing Telephone | 5016645860 |
| Mailing Fax Number | 5016640889 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E3348 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 146458001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1902326234 | Wilson Chin Wong | Pharmacist | 8288 Bermuda Sound Way, Boynton Beach, FL 33436-1726 | 2017-06-27 |
| 1376539429 | Wilson Wong | Dentist | 2340 Irving St, Ste 105, San Francisco, CA 94122-1641 | 2005-09-23 |
| 1811013733 | Wilson Wong | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-03-22 |
| 1255302097 | Wilson Shen Wong | Radiology | 300 W Huntington Dr, Arcadia, CA 91007 | 2006-01-30 |
| Street Address |
7 SHACKLEFORD WEST BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485302 | Scott L Beau | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2005-08-30 |
| 1801411285 | Allyson D Carroll | Dietitian, Registered | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2020-06-11 |
| 1104476720 | Abigail Grace Connerly | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-09-16 |
| 1013560655 | Angela Denise Cheves | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-07-23 |
| 1922565233 | Crystal E Meziere | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-22 |
| 1134685217 | Felicia Mae Johnson | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-14 |
| 1588132948 | Lauren Elizabeth Mcbride | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-11-05 |
| 1144705047 | Cassandra Love | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-09-27 |
| 1457832842 | Marissa Boggs | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-08-24 |
| 1568955441 | Jared H Umland | Physician Assistant | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
| 1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
| 1316009731 | Barry F Uretsky | Internal Medicine | 4301 Marham Avenue, S-304 Shorey Building, Little Rock, AR 72205 | 2006-12-14 |
| 1760580245 | David Randal Hundley | Internal Medicine | 601 S Gaines St, Little Rock, AR 72201-4007 | 2006-09-20 |
| 1609887124 | Alex N Orsini | Internal Medicine | 9501 Lile Dr Ste 600, Little Rock, AR 72205-6231 | 2006-08-10 |
| 1891719084 | Eugene S Smith IIi | Internal Medicine | 4300 W Markham St, 111b, Little Rock, AR 72205-4024 | 2006-07-27 |
| 1265451769 | James Lynn Davis | Internal Medicine | 415 N University Ave, Little Rock, AR 72205-3108 | 2006-07-18 |
| 1871547828 | Hakan Paydak | Internal Medicine | 4301 W Markham St # 532, Little Rock, AR 72205-7199 | 2006-05-22 |
| 1073576625 | Yalcin Hacioglu | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-04-06 |
| 1285628065 | Joe L. Hargrove | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on WILSON WONG.
| 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.