Active NPI
Paul W Wong, MD
- Diagnostic Radiology Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35 081623
- Practice address
- 1 Perkins SQ
Childrens Hospital Medical Center of Akron
Akron, OH 44308-1063 - Phone
- (330) 543-1000
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 35 081623 | OH | |
| Neuroradiology Physician | 2085N0700X | 35 081623 | OH | |
| Pediatric Radiology Physician | 2085P0229X | 35 081623 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 35 081623 | OH | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 35 081623 | OH |
Addresses
Primary practice location
1 Perkins SQ
Childrens Hospital Medical Center of Akron
Akron, OH 44308-1063
Mailing address
1 Perkins SQ
Childrens Hospital Medical Center of Akron
Akron, OH 44308-1063
Phone (330) 543-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300134621 | Other | OH | RAILROAD MEDICARE |
| 2350085 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Saint Louis University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-1000
One Perkins Square
Akron, OH 44308-1063
Phone (330) 543-1000
Hospital & facility affiliations
- Akron Children'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 081623 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Diagnostic Radiology | Current | Accepting new patients |
| Wooster Clinic, LLC | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Community Health Care Inc. | Past | Accepting new patients | |
| UCLA Radiology Medical Group | Body Imaging | Past | Accepting new patients |
| Radiology Associates of Canton, Inc. | Body Imaging | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Interoperability endpoints
- pwong10858@direct.chmca.org
Organizations & group practices 8
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.
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Diagnostic Radiology Physician
- Akron, OH
- NPI 1780857797
-
- Family Medicine Physician
- Canal Fulton, OH
- NPI 1114902137
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
Body Imaging
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
Body Imaging
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Akron, OH
- NPI 1861506560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1174507446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"address_2": "CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"address_2": "CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "OH",
"license": "35 081623",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OH",
"license": "35 081623",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "OH",
"license": "35 081623",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35 081623",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OH",
"license": "35 081623",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300134621",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2350085",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.