DR. KONDI WONG (NPI# 1992866966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992866966 |
Entity Type | Individual |
Full Name | DR. KONDI WONG |
Credential | M.D. |
Practice Address |
2200 Bergquist Dr Attn Credentials (cmc) Lackland A F B TX 78236-9907 |
Mailing Address |
15806 Mission Rdg San Antonio TX 78232-2792 |
Practice Telephone | 2102926812 |
Mailing Telephone | 2104950239 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-08-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
M0314 | TX | Allopathic & Osteopathic Physicians |
Street Address |
2200 BERGQUIST DR ATTN CREDENTIALS (CMC) |
City | LACKLAND A F B |
State | TX |
Zip Code | 78236-9907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235139494 | Kathryn Joyce | Nurse Practitioner | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2005-07-28 |
1619219789 | Jodie K Timberlake | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Willford Hall Ambulatory Surgical Center, Lackland A F B, TX 78236-9907 | 2013-03-26 |
1467798884 | James W Parry | Military Health Care Provider | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2012-12-13 |
1093065252 | Brittany Mccright | Physical Therapist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2012-09-14 |
1003177593 | Danielle Kusserow Bersabe | Internal Medicine | 2200 Bergquist Dr, Wilford Hall Ambulatory Surgical Center, Lackland A F B, TX 78236-9907 | 2012-05-31 |
1114206570 | Ana Ugues Aleman | Pharmacist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2011-08-16 |
1902192743 | Ashley Noelle Franz | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Wilford Hall Medical Center, Lackland A F B, TX 78236-9907 | 2011-06-20 |
1699067694 | Kristen Kann | Emergency Medicine | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2011-05-09 |
1891090577 | Evan Gregory Smith | Physician Assistant | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2011-01-11 |
1295041853 | Santos Michael Rivera II | Pharmacist | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2010-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
Find all providers in zip 78236 |
Taxonomy Code | 207ZN0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Neuropathology |
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811168701 | Gregg Bennett Wells | Pathology | 440 Reynolds Medical Building, 1114tamu/molecular and Cellular Medicine, College Station, TX 77843-1114 | 2008-03-18 |
1710948153 | Dennis Kendall Burns | Pathology | 5323, Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-28 |
1851395214 | Dawna Lavina Armstrong | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2005-06-13 |
1760828388 | Jamie Walker | Pathology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2013-05-22 |
1962794883 | Andrea Rene Gilbert | Pathology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2011-05-11 |
1881898179 | Emily Susanne Herndon | Pathology | 5323 Harry Hines Blvd, Division of Neuropathology, Dallas, TX 75390-7201 | 2007-06-12 |
1679796544 | Derek Andrew Mathis | Pathology | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2007-04-10 |
1811068224 | Gerald A Campbell | Pathology | 301 University Blvd, Galveston, TX 77555-5302 | 2006-11-10 |
1164593489 | Benjamin B Gelman | Pathology | 301 University Blvd, Galveston, TX 77555-5302 | 2006-11-10 |
1083700801 | Kenneth D. Aldape | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-05 |
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City | LACKLAND A F B |
Zip Code | 78236 |
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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.