DR. KONDI WONG


Address: 2200 Bergquist Dr, Attn Credentials (cmc), Lackland A F B, TX 78236-9907
Phone: 2102926812

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZN0500X Pathology
Specialization: Neuropathology
M0314 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 2200 BERGQUIST DR
ATTN CREDENTIALS (CMC)
City LACKLAND A F B
State TX
Zip Code 78236-9907

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ZN0500X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Neuropathology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City LACKLAND A F B
Zip Code 78236

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Dataset Information

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.

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