Individual provider Active NPI

Michelle Fong Zhong, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Tacoma, WA
National Provider Identifier
1053486415
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00039410 Issued in WA
Practice address
2702 S 42ND St Ste 310
Tacoma, WA 98409-7324
Phone
(253) 472-7844
Fax
(253) 472-8474
NPI assigned
Nov 21, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD00039410 WA Primary

Addresses

Primary practice location

2702 S 42ND St Ste 310
Tacoma, WA 98409-7324

Mailing address

2702 S 42ND St Ste 310
Tacoma, WA 98409-7324
Phone (253) 472-7844

Other identifiers 1

IdentifierTypeStateIssuer
8288839MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000870 WA Practitioner - Physical Medicine and Rehabilitation 5395810147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16110 8TH Ave SW
Suite B1 a
Burien, WA 98166-2962
Phone (206) 518-6081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
NW Pain Management and Rehabilitation Associates, Inc Physical Medicine & Rehabilitation CurrentSince Jul 1, 2008 Accepting new patients
Northwest Center for Integrative Medicine Past Accepting new patients

Locations

16110 8th Ave SW
Ste B1-A
Burien, WA 98166
Phone (206) 518-6081

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1053486415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST STE 310",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097324",
            "telephone_number": "253-472-7844",
            "fax_number": "253-472-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST STE 310",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097324",
            "telephone_number": "253-472-7844",
            "fax_number": "253-472-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHONG",
        "first_name": "MICHELLE",
        "middle_name": "FONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00039410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8288839",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.