Timothy H Wong (NPI# 1750677423, PAC ID# 3274751664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1750677423 |
| PAC ID by PECOS | 3274751664 |
| Professional Enrollment ID | I20140827000131 |
| Full Name | Timothy H Wong |
| Organization Legal Name | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| Address |
2255 Philadelphia St Indiana PA 15701-1595 |
| Phone Number | 7243491616 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5294723359 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390173 | INDIANA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2255 Philadelphia St, Indiana, PA 15701-1595 | 7243491616 | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| 850 Hospital Rd, Suite 1200, Indiana, PA 15701-3662 | 7244658900 | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| 879 Hospital Rd, Indiana, PA 15701-3629 | 7243578198 | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| 881 Hospital Rd, Indiana, PA 15701-3629 | 7243492576 | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| Organization Legal Name | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Pohl | Physician Assistant | Indiana Healthcare Physician Services Inc | 879 Hospital Rd, Indiana, PA 15701-3629 |
| Christopher T Horner | Nurse Practitioner | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| Morgan A Daugherty | Clinical Social Worker | Indiana Healthcare Physician Services Inc | 850 Hospital Rd, Suite 1200, Indiana, PA 15701-3662 |
| Ruth B Woolcock | Internal Medicine | Indiana Healthcare Physician Services Inc | 15 S 8th St, Suite 301, Indiana, PA 15701-2776 |
| Joseph W Meyn | Obstetrics/gynecology | Indiana Healthcare Physician Services Inc | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 |
| Joseph Dominic Conti | Urology | Indiana Healthcare Physician Services Inc | 1265 Wayne Ave, 206 Mushtaq A Syed Md, Indiana, PA 15701-3578 |
| Gustavo J Franco Vasquez | General Surgery | Indiana Healthcare Physician Services Inc | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 |
| David Benhayon | Psychiatry | Indiana Healthcare Physician Services Inc | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3663 |
| Michael K Sauter | Neurology | Indiana Healthcare Physician Services Inc | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3663 |
| Rebecca Gamble | Physician Assistant | Indiana Healthcare Physician Services Inc | 879 Hospital Rd, Indiana, PA 15701-3629 |
| Street Address |
2255 PHILADELPHIA ST |
| City | INDIANA |
| State | PA |
| Zip | 15701-1595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Kubalek | Nurse Practitioner | Indiana Diabetes and Endocrinology | 2255 Philadelphia St, Indiana, PA 15701-1595 |
| Joseph Lindsay Parks | Family Medicine | Indiana Healthcare Physician Services Inc | 2255 Philadelphia St, Indiana, PA 15701-1595 |
| Mushtaq A Syed | Internal Medicine | Indiana Diabetes and Endocrinology | 2255 Philadelphia St, Indiana, PA 15701-1595 |
| Rabia Bajwa | Sleep Medicine | Indiana Healthcare Physician Services Inc | 2255 Philadelphia St, Indiana, PA 15701-1595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn E Martel | Physical Therapy | Center for Orthopaedics and Sports Medicine PC | 120 Irmc Dr, Suite 160, Indiana, PA 15701-0788 |
| Alan M Keefe | Physician Assistant | Center for Orthopaedics and Sports Medicine | 120 Irmc Dr, Indiana, PA 15701-0788 |
| Renea Christine Shaffer | Physical Therapy | Center for Orthopaedics and Sports Medicine | 120 Irmc Dr, Suite 160, Indiana, PA 15701-0788 |
| William J Hocter Jr. | Psychiatry | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Nicole B Vittone | Physician Assistant | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Jamie Csw Mack | Clinical Social Worker | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Peter John Hauber | Psychiatry | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Jill M Lamison | Clinical Social Worker | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Deanna C Rezk | Nurse Practitioner | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Glenn M Losack | Psychiatry | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Find all physicians in zip 15701 | |||
| City | INDIANA |
| Zip Code | 15701 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | INDIANA + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.