Emily Makaiah Wing, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA150408 Issued in OR

Practice address

2859 State St Ste 103
Medford, OR 97504

Phone

(541) 282-6580

Fax

(541) 326-0361

NPI assigned

Apr 16, 2010

Last updated

Jan 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Oregon Retina Specialists, LLC

  dba Oregon Retina Center

  • Ophthalmology Physician
  • Medford, OR
  • NPI 1285812123
  NPD (past)

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1083930903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 STATE ST STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048495",
            "telephone_number": "541-282-6580",
            "fax_number": "541-326-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 STATE ST STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-282-6580",
            "fax_number": "541-326-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Bennett Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046715",
            "country_code": "US",
            "telephone_number": "541-779-5228",
            "fax_number": "541-772-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WING",
        "first_name": "EMILY",
        "middle_name": "MAKAIAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA150408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Gean Wilson
• Aaron John Winder, FNP-C
• Winding Tree Counseling Services LLC
• Luke Winetrout
• Seth Alexander Winetrout, RRT, AE-C
• Shandell Wingler
• Brian E. Winkler, P.T.
• Jessica Chanda Winkler
• Erin M Winn, PA-C
• Laura J Winslow

• Physician Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.