Individual provider Active NPI

Wing Yin 'Winnie' Tong, PA-C

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1154672863
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1378 Issued in NV
Practice address
2825 Siena Heights Dr Ste 101
Henderson, NV 89052-3976
Phone
(702) 616-7049
Fax
(702) 492-1467
NPI assigned
Sep 21, 2012
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1378 NV
Physician Assistant 363A00000X PA1378 NV Primary

Addresses

Primary practice location

2825 Siena Heights Dr Ste 101
Henderson, NV 89052-3976

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

10652 S Eastern Ave Ste A
Henderson, NV 89052-4953
Phone (702) 476-2800

Other identifiers 2

IdentifierTypeStateIssuer
PA1378OtherNVSTATE LICENSE
1154672863MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121210000171 NV Practitioner - Physician Assistant 1052563582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 S Rainbow Blvd
Suite 240
Las Vegas, NV 89145-6231
Phone (702) 259-0088

1397 S Loop Rd
Pahrump, NV 89048-4729
Phone (775) 727-5500

1520 W Sunset Rd
Suite 100
Henderson, NV 89014-6849
Phone (702) 940-1555

2350 Corporate Cir
Henderson, NV 89074-7737

4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone (702) 871-5005

771 E Horizon Dr
Suite 140
Henderson, NV 89015-8407
Phone (702) 948-1125

8350 W Badura Ave
Las Vegas, NV 89113-2383

8595 S Decatur Blvd
Suite 108
Las Vegas, NV 89139-7006
Phone (702) 948-1130

9280 W Sunset Rd
Las Vegas, NV 89148-4862

9499 W Charleston Blvd
Las Vegas, NV 89117-7147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1378NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

2825 Siena Heights Dr
Ste 101
Henderson, NV 89052
Phone (702) 616-7049

2825 Siena Heights Dr
Ste 102
Henderson, NV 89052
Phone (702) 940-1535

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: wingtong@hcpnv.allscriptsdirect.net

Organizations & group practices 3

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1154672863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SIENA HEIGHTS DR STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523976",
            "telephone_number": "702-616-7049",
            "fax_number": "702-492-1467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10652 S Eastern Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524953",
            "country_code": "US",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONG",
        "first_name": "WING YIN 'WINNIE'",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1378",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA1378",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154672863",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.