MR. JOHN W.S. WONG (NPI# 1790979771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790979771 |
| Entity Type | Individual |
| Full Name | MR. JOHN W.S. WONG |
| Credential | RPH. |
| Practice Address |
747 Indian Boundary Rd Chesterton IN 46304-1518 |
| Practice Telephone | 2199268723 |
| Practice Fax Number | 2199831930 |
| Mailing Telephone | 2199268723 |
| Mailing Fax Number | 2199831930 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH-2130 | HI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 26015813 | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508109182 | John W.c. Wong | Specialist | 1613 Chelsea Rd # 803, San Marino, CA 91108-2419 | 2013-04-01 |
| 1144552332 | John Wellington Wong | Pharmacist | 3001 Highway 82 E, Greenville, MS 38703-8221 | 2010-02-12 |
| 1639226004 | John King Wong | Dentist | 15534 Gale Avenue, Hacienda Heights, CA 91745-1513 | 2007-01-05 |
| 1891887725 | John B Wong | Internal Medicine | 800 Washington St # 235, Tufts Medical Center, Boston, MA 02111-1552 | 2006-09-28 |
| 1114201555 | John W Wong | Dentist | 3151 S White Rd, Suite 201, San Jose, CA 95148-4045 | 2011-10-04 |
| 1336436500 | John Wong | Internal Medicine | 11234 Anderson St, Shuman Pavilion, Room A600, Loma Linda, CA 92354-2804 | 2011-07-07 |
| 1396068995 | John J Wong | Nurse Practitioner | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2010-03-10 |
| 1386810992 | John C. Wong | Dentist | 2080 Whitney Ave, Suite 270, Hamden, CT 06518-3600 | 2008-05-03 |
| 1811175011 | John Wong | Pharmacist | 160 E 125th St, New York, NY 10035-1722 | 2008-02-11 |
| 1427117001 | John Wong | Ophthalmology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2006-12-08 |
| Street Address |
747 INDIAN BOUNDARY RD |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396791828 | American Partners Lp | Durable Medical Equipment & Medical Supplies | 747 Indian Boundary Rd, Chesterton, IN 46304 | 2006-05-26 |
| 1457807836 | Geraldine Fencl | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2016-08-26 |
| 1902254071 | Brad Venhuizen | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2016-05-31 |
| 1558719732 | Matthew Siemiawski | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2016-05-29 |
| 1962703157 | Erin Shaal | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447528286 | Michelle J Wilson | Pharmacist | 1066 Laurel Creek Dr, Chesterton, IN 46304-9607 | 2011-12-07 |
| 1053527663 | Heather Dawn Heitert | Pharmacist | 750 Indian Boundary Rd, Chesterton, IN 46304-1519 | 2007-05-14 |
| 1689299828 | Allison Gail Martin | Pharmacist | 580 Indian Boundary Rd, Chesterton, IN 46304-1515 | 2020-06-13 |
| 1457807836 | Geraldine Fencl | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2016-08-26 |
| 1902254071 | Brad Venhuizen | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2016-05-31 |
| 1558719732 | Matthew Siemiawski | Pharmacist | 747 Indian Boundary Rd, Chesterton, IN 46304-1518 | 2016-05-29 |
| 1285066795 | Anthony Galoozis | Pharmacist | 750 Indian Boundary Rd, Chesterton, IN 46304-1519 | 2013-08-07 |
| 1518236611 | Kristian D Walker | Pharmacist | 2022 Kelle Dr, Chesterton, IN 46304 | 2011-12-19 |
| 1063796639 | James Brent Ksenak | Pharmacist | 580 Indian Boundary Rd, Chesterton, IN 46304-1515 | 2011-09-30 |
| 1578843223 | Ryan Michael Phelps | Pharmacist | 580 Indian Boundary Rd, Chesterton, IN 46304-1515 | 2011-08-26 |
| Find all providers in CHESTERTON | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
Please comment or provide details below to improve the information on MR. JOHN W.S. 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.