Individual provider Active NPI

William S Wong, D.P.M. P.A.

  • Foot & Ankle Surgery Podiatrist
  • Lakeland, FL
National Provider Identifier
1003884917
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2496 Issued in FL
Practice address
927 S Florida Ave
Lakeland, FL 33803-1149
Phone
(863) 686-1081
Fax
(863) 687-6333
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2496 FL Primary

Addresses

Primary practice location

927 S Florida Ave
Lakeland, FL 33803-1149

Mailing address

927 S. Florida Avenue
Lakeland, FL 33803-1149
Phone (863) 686-1081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000299 FL Practitioner - Podiatry 7810102621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

927 S Florida Ave
Dr. William S. Wong
Lakeland, FL 33803-1149
Phone (863) 686-1081

Hospital & facility affiliations

  • Care and Life Home health agency, Lakeland, FL, CCN 687206

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue647
Removal of skin lesions1-10
Removal of nail tissue168
Removal or shaving of skin growth1484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PO2496FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
William S Wong, D.P.M. P.a. Foot & Ankle Surgery CurrentSince Feb 11, 2002 Accepting new patients

Locations

927 S Florida Ave
Lakeland, FL 33803
Phone (863) 686-1081

Networks

  • AL HMO D-SNP
  • FL HMO C-SNP
  • FL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO
  • FL PPO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1003884917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S. FLORIDA AVENUE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031149",
            "telephone_number": "863-686-1081",
            "fax_number": "863-687-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031149",
            "telephone_number": "863-686-1081",
            "fax_number": "863-687-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.