DR. CORRINE WONG (NPI# 1861716540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861716540 |
| Entity Type | Individual |
| Full Name | DR. CORRINE WONG |
| Other Name | MISS CORRINE WONG |
| Credential | M.D. |
| Practice Address |
777 Bannock St Denver CO 80204-4507 |
| Practice Telephone | (303) 436-6000 |
| Mailing Telephone | (303) 436-6000 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
0059111 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 752357708 | 2145908058 |
| Street Address |
777 BANNOCK ST |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941735 | Teresa A Wilcox | Nurse Practitioner | 777 Bannock St, Mc 1914, Denver, CO 80204-4507 | 2005-06-13 |
| 1437765997 | Nekol R Daley | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-09-21 |
| 1386261535 | Ivori Alexandria Zvorsky | Student in an Organized Health Care Education/Training Program | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-02 |
| 1770100166 | Rachel Christina Corey-pacheco | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-01 |
| 1205450202 | Jeff Foster | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-06-04 |
| 1558990697 | Alana Byrnes | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-04-01 |
| 1437785862 | Brian James Wang | Physician Assistant | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-17 |
| 1881220648 | Marina Elyse Payne | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-12 |
| 1649805649 | Karin Gallup | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-10 |
| 1184259178 | Heather Krohn | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970265 | Peak Plastic Surgery Center, PC | Surgery | 4500 E Cherry Creek South Dr Ste 425, Denver, CO 80246-1518 | 2019-12-23 |
| 1790004612 | Medvacation LLC | Surgery | 2340 Curtis Street Unit #3, Denver, CO 80205 | 2010-05-18 |
| 1841322674 | Joyce Aycock | Surgery | 36 Steele St Ste 200, Denver, CO 80206-5710 | 2007-03-09 |
| 1437231982 | Christine Maria Rodgers | Surgery | 4600 Hale Pkwy Ste 330, Denver, CO 80220-4000 | 2006-10-20 |
| 1871675314 | Michael Charles Bateman | Surgery | 4700 Hale Pkwy Ste 520, Denver, CO 80220-4053 | 2006-10-20 |
| 1821607391 | Poudre Valley Medical Group, LLC | Surgery | 100 Cook Street, Suite 306, Denver, CO 80206 | 2020-07-30 |
| 1447748496 | Plastic & Reconstructive Institute of Denver LLC | Surgery | 1601 E 19th Ave Ste 3650, Denver, CO 80218-1282 | 2018-04-25 |
| 1003220849 | Cassandra Alys Ligh | Surgery | 2045 N Franklin St, Denver, CO 80205-5437 | 2014-06-19 |
| 1417265596 | Emmett Plastic Surgery, Pllc | Surgery | 3773 Cherry Creek North Dr, Denver, CO 80209-3804 | 2010-09-22 |
| 1750547824 | David P Schnur Mdpc | Surgery | 1601 E 19th Ave, Suite 5150, Denver, CO 80218-1216 | 2008-07-29 |
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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.