LESLIE B WONG (NPI# 1649262734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649262734 |
| Entity Type | Individual |
| Full Name | LESLIE B WONG |
| Credential | MD |
| Practice Address |
1111 Leffingwell Ave Ne Suite 200 Grand Rapids MI 49525-6406 |
| Practice Telephone | 6169574263 |
| Practice Fax Number | 6169570444 |
| Mailing Telephone | 6169574263 |
| Mailing Fax Number | 6169570444 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301033147 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
4301033147 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4096476 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922325695 | Leslie Wong | Surgery | 3600 Broadway Fl 3, Oakland, CA 94611-5730 | 2010-04-21 |
| 1760514178 | Leslie A Wong | Dentist | 748 N Broadway, Los Angeles, CA 90012 | 2007-03-12 |
| 1982730313 | Leslie Ns Wong | Dentist | 804 W Lodi Ave, Lodi, CA 95240-3302 | 2007-02-27 |
| 1588966097 | Leslie Wong | Occupational Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2010-12-03 |
| 1154464790 | Leslie Mark Wong | Dentist | 827 Blossom Hill Rd, Suite W-3, San Jose, CA 95123-2701 | 2007-02-14 |
| 1013066919 | Leslie K L Wong | Dentist | 1150 S King Street, Suite 309, Honolulu, HI 96814 | 2007-01-09 |
| 1801976691 | Leslie M Wong | Pharmacist | 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 | 2006-10-16 |
| 1487641957 | Leslie P Wong | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-09-30 |
| Street Address |
1111 LEFFINGWELL AVE NE SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151834 | William G Brinkmeier | Physician Assistant | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 | 2005-08-15 |
| 1316571334 | Beth A Ronda | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2020-02-28 |
| 1811535172 | Kaylyn Fales | Specialist/Technologist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-18 |
| 1275170540 | Marissa Marguerite Hansen | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-05 |
| 1285120568 | Danielle M Beaudoin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-07-10 |
| 1235630203 | Michael D Newlin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-02-26 |
| 1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
| 1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
| 1811412315 | Logan M Neil | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-08-07 |
| 1053848929 | Hilary May Fredricks | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528003829 | Joseph F Looby | Surgery | 2540 Woodmeadow Dr Se, Grand Rapids, MI 49546-8050 | 2006-06-19 |
| 1396700761 | Daniel J Olsen | Surgery | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2006-04-19 |
| 1417984162 | John Alan Girotto | Surgery | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2006-06-27 |
| 1386690436 | Michigan Hand Center, Plc | Surgery | 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2006-05-26 |
| 1558310912 | Ronald D Ford | Surgery | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 | 2006-05-10 |
| 1689624017 | Andrew J Livingston | Surgery | 2060 East Paris Ave Se, #110, Grand Rapids, MI 49546 | 2006-05-10 |
| 1518916535 | William T Cullen | Surgery | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 | 2006-05-08 |
| 1750330650 | Paul A Luce | Surgery | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334394 | Rajesh Bhagat Md PC | Surgery | 4020 S Vernoy, Wayne, MI 48184 | 2007-05-11 |
| 1932313558 | Avery A. Arora | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2007-05-10 |
| 1568476703 | Rajesh C Bhagat | Surgery | 19181 15 Mile Rd, Clinton Twp, MI 48035-2508 | 2006-07-27 |
| 1730160052 | Curtis S Young | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2005-11-14 |
| 1609868496 | Jeffrey Maurice Hall | Surgery | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 | 2005-08-17 |
| 1689163529 | Avery Arora, Md PC | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2018-05-07 |
| 1730403403 | Dong Wha Ohm Md PC | Surgery | 1085 S Linden Rd, Suite 100, Flint, MI 48532-3421 | 2010-03-24 |
| 1265660062 | Jeremy Ryan Ciullo | Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093 | 2009-06-30 |
| 1871795393 | Curtis S Young Md Plc | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2007-06-05 |
| 1609907146 | Amy Renee Woznick | Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on LESLIE B 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.