Kenneth E Wong (NPI# 1215935986, PAC ID# 6103822051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1215935986 |
| PAC ID by PECOS | 6103822051 |
| Professional Enrollment ID | I20100318000089 |
| Full Name | Kenneth E Wong |
| Organization Legal Name | CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC |
| Address |
1320 Martin Luther King Dr Thibodaux LA 70301-4886 |
| Phone Number | 9854462021 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779497441 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191324 | OCHSNER ST ANNE GENERAL HOSPITAL |
| 190004 | THIBODAUX REGIONAL MEDICAL CENTER |
| 191325 | LADY OF THE SEA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 Dunn St, Houma, LA 70360-4413 | 9858760300 | CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC |
| 1231 David Dr, Morgan City, LA 70380-1321 | 9853856390 | CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC |
| 102 Twin Oaks Dr, Raceland, LA 70394-2760 | 9855374000 | CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC |
| 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 | 9854462021 | CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC |
| 602 N Acadia Rd Ekg Dept, Thibodaux Regional Heart and Vascular Surgery Clinic, Thibodaux, LA 70301-4847 | 9854494670 | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| 604 N Acadia Rd, 409 Thibodaux Regional Heart and Vascular Surgery Clini, Thibodaux, LA 70301-4897 | 9854494670 | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Robichaux | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Keiffer Bengie Wyble | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5904 |
| Charisse Janet Ward | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 |
| Murray J Morella | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 102 Twin Oaks Dr, Raceland, LA 70394-2760 |
| Ahmad Yousef Jabbar | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 1901 Manhattan Blvd, Suite A200, Harvey, LA 70058-3585 |
| Karen Lynn Golla | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1325 Wright Ave H, Crowley, LA 70526-2226 |
| Marcus Allen Montet | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 107 Maryland Dr, Luling, LA 70070-2163 |
| Sarah P Romero | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1231 David Dr, Morgan City, LA 70380-1321 |
| John K Lindsay | Cardiovascular Disease (cardiology) | Cardiovascular Institute of The South, Apmc | 37292 Market Place Dr, Suite A, Prairieville, LA 70769-3487 |
| William Richard Ladd | Cardiovascular Disease (cardiology) | Cardiovascular Institute of The South, Apmc | 225 Dunn St, Houma, LA 70360-4413 |
| Street Address |
1320 MARTIN LUTHER KING DR |
| City | THIBODAUX |
| State | LA |
| Zip | 70301-4886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Robichaux | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Marshall Q Coco | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Emily Rivet Landry | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Narayanan D Karayil Thekkoott | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Mohammed S Rais | Cardiovascular Disease (cardiology) | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Eric D Engeron | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Lisa Lejeune Freyou | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Alvin Michael Timothy | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Fernando J Ruiz | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Taressa Anne Broussard | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1320 Martin Luther King Dr, Thibodaux, LA 70301-4886 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Lisa Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jenaye M Deroche | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| David Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jared S Thurston | Ophthalmology | 302 Ridgefield Rd, Thibodaux, LA 70301-2724 | |
| Charles L Seaman | Optometry | 907 Ridgefield Rd, Thibodaux, LA 70301-2843 | |
| Jeffrey Edward Aycock | Oral Surgery | Oral-facial Surgery Center Apc | 923 Ridgefield Rd, Thibodaux, LA 70301-2844 |
| Deidre A Boults | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Kryshonda Y Alleyne | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Melissa Lepine | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Find all physicians in zip 70301 | |||
| City | THIBODAUX |
| Zip Code | 70301 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | THIBODAUX + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Kenneth E 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.