Eric Wong (NPI# 1679701551, PAC ID# 9537309877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1679701551 |
| PAC ID by PECOS | 9537309877 |
| Professional Enrollment ID | I20130709000473 |
| Full Name | Eric Wong |
| Organization Legal Name | FOLSOM ANESTHESIA MEDICAL GROUP INC |
| Address |
1650 Creekside Dr Folsom CA 95630-3400 |
| Phone Number | 9169837400 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 1052398872 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050414 | MERCY HOSPITAL OF FOLSOM |
| Address | Phone | Organization |
|---|---|---|
| 1650 Creekside Dr, Folsom, CA 95630-3400 | 9169837400 | FOLSOM ANESTHESIA MEDICAL GROUP INC |
| 500 W Hospital Rd, French Camp, CA 95231-9693 | 2094686000 | SAN JOAQUIN FACULTY MEDICAL GROUP |
| Organization Legal Name | FOLSOM ANESTHESIA MEDICAL GROUP INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather L Daughters | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Michael J Herrmann | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Mark R Logvin | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Jerrell S Brown | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Robert T Keszler | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Matthew J Storment | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Henry Habra | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Eric Dart-yang Fok | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Jeffrey L Anderson | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Gary A Glenesk | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Street Address |
1650 CREEKSIDE DR |
| City | FOLSOM |
| State | CA |
| Zip | 95630-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather L Daughters | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Michael J Herrmann | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Mark R Logvin | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Tanuja R Raju | Obstetrics/gynecology | Dignity Health Medical Foundation | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Ryan N Gorton | Emergency Medicine | Cep America - California | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Guneet S Natt | Internal Medicine | Dignity Health Medical Foundation | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Michael Outslay | Physician Assistant | Dignity Health Medical Foundation | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Jerrell S Brown | Anesthesiology | Folsom Anesthesia Medical Group Inc | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| John G Moser | Emergency Medicine | Cep America - California | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Joseph J Bistrain | Emergency Medicine | Cep America - California | 1650 Creekside Dr, Folsom, CA 95630-3400 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savita D Kumar | Clinical Social Worker | 7210 Pine Grove Way, Folsom, CA 95630-1922 | |
| Geoffrey A Allen | Chiropractic | 9477 Greenback Ln, Suite 520, Folsom, CA 95630-2087 | |
| Gina E Nelson | Clinical Social Worker | 555 Oakdale St, Suite D, Folsom, CA 95630-2451 | |
| Heather M Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| David J Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| William R Bassett | Physical Therapy | Body Concepts Inc. | 705 Gold Lake Dr, Suite 350, Folsom, CA 95630-2558 |
| Donald Gutman | Internal Medicine | 510 Mill St, Folsom, CA 95630-2607 | |
| William J Garcia | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Michael J Moore | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Timothy E Mcgonigle | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Find all physicians in zip 95630 | |||
| City | FOLSOM |
| Zip Code | 95630 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FOLSOM + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Eric 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.