Individual provider Active NPI

Paul W Wong, MD

  • Diagnostic Radiology Physician
  • Akron, OH
National Provider Identifier
1174507446
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35 081623 Issued in OH
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

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300134621OtherOHRAILROAD MEDICARE
2350085MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000557 OH Practitioner - Diagnostic Radiology 9931094984 Reassigns benefits to 2 organizations

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
Children'S Hospital Medical Center of AkronGroup PAC ID 0648183012, 145 clinicians

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 Hospital, Akron, OH, CCN 363303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 081623OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron Diagnostic Radiology CurrentSince May 1, 2009 Accepting new patients
Wooster Clinic, LLC CurrentSince Oct 30, 2018 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince May 1, 2009 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.