Walter K T Wong MD SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

24079 Issued in WI

Legal business name

WALTER K T WONG MD SC

Practice address

2424 S 90TH St
Ste. 202
West Allis, WI 53227-2455

Phone

(414) 328-7646

Fax

(414) 328-7699

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Walter K. T. Wong, MD

Title

Owner

Phone

(414) 328-7646

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1033449533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 S 90TH ST",
            "address_2": "STE. 202",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272455",
            "telephone_number": "414-328-7646",
            "fax_number": "414-328-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 S 90TH ST",
            "address_2": "STE. 202",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272455",
            "telephone_number": "414-328-7646",
            "fax_number": "414-328-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER K T WONG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "K. T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-328-7646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "24079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30632800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Walker
• Frederick Marcus Walker, DDS
• Virginia L Wallace, MD
• Christine M Waller, C.R.N.A.
• Charity Walsh, LPC
• Brittany Ward, APNP
• David L Waterfill, O.D.
• Shelton B Watkins, PHARM D.
• Veronica Weatherspoon, FNP-C, PMHNP-BC
• Sakirra Weaver, RN

• Neurology Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.