Brandon J Wong (NPI# 1083877856, PAC ID# 4880761378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1083877856 |
| PAC ID by PECOS | 4880761378 |
| Professional Enrollment ID | I20080925000283 |
| Full Name | Brandon J Wong |
| Organization Legal Name | WEST MICHIGAN ANESTHESIA PC |
| Address |
100 Michigan St Ne Spectrum Health Hospital Grand Rapids MI 49503-2560 |
| Phone Number | 6163919000 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 1355243551 |
| Number of Group Practice Members | 181 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 | 6163919000 | WEST MICHIGAN ANESTHESIA PC |
| 4069 Lake Dr Se, Spectrum Health Lade Drive Surgery Center, Grand Rapids, MI 49546-8816 | 6162851120 | WEST MICHIGAN ANESTHESIA PC |
| 80 68th St Se, Spectrum Health South Pavilion, Grand Rapids, MI 49548-6980 | 6163918220 | WEST MICHIGAN ANESTHESIA PC |
| Organization Legal Name | WEST MICHIGAN ANESTHESIA PC |
| Physicians | 197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Hall | Anesthesiology Assistant | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Molly Elizabeth Okane | Anesthesiology | West Michigan Anesthesia PC | 4069 Lake Dr Se, Spectrum Health Lade Drive Surgery Center, Grand Rapids, MI 49546-8816 |
| Matthew H Armstrong | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Lindsay E Mckelvey | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Steven M Anderson | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Patrick J Evans | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 615 S Bower St, Spectrum Health United Memorial, Greenville, MI 48838-2614 |
| Jason T Dipman | Anesthesiology Assistant | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Brent M Zukoff | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Eric Lee Larson | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Courtney M Abernathy | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Street Address |
100 MICHIGAN ST NE SPECTRUM HEALTH HOSPITAL |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49503-2560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Hall | Anesthesiology Assistant | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Matthew H Armstrong | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Lindsay E Mckelvey | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Steven M Anderson | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Jason T Dipman | Anesthesiology Assistant | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Brent M Zukoff | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Eric Lee Larson | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Courtney M Abernathy | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Scott C Schenck | Anesthesiology | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital, Grand Rapids, MI 49503-2560 |
| Jennifer B Saleem | Certified Registered Nurse Anesthetist (crna) | West Michigan Anesthesia PC | 100 Michigan St Ne, Spectrum Health Hospital Group, Grand Rapids, MI 49503-2560 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Appiagyei-dankah | Pediatric Medicine | Spectrum Health Primary Care Partners | 230 Michigan Ave Ne, Grand Rapids, MI 49503 |
| Steven G Hamming | Psychologist, Clinical | 85 Campau Nw, Suite 100, Grand Rapids, MI 49503 | |
| Scott Douglas Hadley | Physical Therapy | 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070 | |
| Doreen T Berrios | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jaclyn Michelle Abbate | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Karen Georgianna O'strander | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Richard E Myers | Psychiatry | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Patrick J Handlin | Physician Assistant | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Courtney E Kozarian | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jillaine A Ruppel | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Find all physicians in zip 49503 | |||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | GRAND RAPIDS + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Brandon J Wong.
| 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.