DR. CHARLES CHU-LI WONG (NPI# 1801890314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801890314 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CHU-LI WONG |
| Credential | M.D. |
| Practice Address |
1729 Kinneys Lane Suite 203 Portsmouth OH 45662-3167 |
| Practice Telephone | 7403542942 |
| Practice Fax Number | 7403533661 |
| Mailing Telephone | 7403542942 |
| Mailing Fax Number | 7043533661 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35063264W | OH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
63264 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0879705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283766 | Charles Wong | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-08 |
| 1255508131 | Charles David Wong | Surgery | 9500 Stockdale Hwy, Suite #109, Bakersfield, CA 93311-3620 | 2008-05-10 |
| 1659394187 | Charles Men Wong | General Practice | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2006-07-25 |
| 1063401248 | Charles W Wong | Family Medicine | 310 S Main St, Hartford, KY 42347-1129 | 2005-10-19 |
| Street Address |
1729 KINNEYS LANE SUITE 203 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-3167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558681395 | Trinidad Orthopaedics and Sportsmedicine Inc | Physician Assistant | 1729 Kinneys Lane, Suite-102, Portsmouth, OH 45662-3166 | 2010-06-03 |
| 1831378538 | Christopher W Schmidt Do PC | Urology | 1729 Kinneys Lane, Suite 103, Portsmouth, OH 45662-3166 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1457529125 | Jesse P Houghton | Internal Medicine | 1711 27th St Ste 403, Portsmouth, OH 45662-2658 | 2008-02-15 |
| 1396816617 | Thomas P. Mcmahon, Md, Inc. | Internal Medicine | 110 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2006-11-10 |
| 1730133398 | Family Medicine Health Care Pllc | Internal Medicine | 6111 Portsmouth Blvd, Portsmouth, VA 23701-1342 | 2006-05-19 |
| 1326099557 | Joseph B Hollis Md PC | Internal Medicine | 1211 Rodman Ave, Portsmouth, VA 23707-3915 | 2006-05-12 |
| 1740603653 | Geoffrey Ennis Clark | Internal Medicine | 152 Middle St, Portsmouth, NH 03801-4306 | 2014-01-28 |
| 1982960621 | Amie Luann Harvey | Internal Medicine | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2012-04-06 |
| 1598884041 | Garfield Alexander Grandison | Internal Medicine | 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-2845 | 2007-03-28 |
| 1619048030 | Thomas P. Mcmahon | Internal Medicine | 110 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2006-11-10 |
| 1023189370 | Joseph D. Pianka | Internal Medicine | 110 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2006-11-10 |
| 1093886343 | Joseph D. Pianka, Md, Inc. | Internal Medicine | 110 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2006-11-10 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.