Jian Wilson Dong
Individual provider Active NPI Diagnostic Radiology Physician · York, ME
NPI 1174977904 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1174977904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD24325 (ME)
- Practice address
- 15 Hospital Dr
York, ME 03909-1099 - Phone
- (207) 363-4321
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nuclear Medicine
- Education
- New York University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiologic Associates of Fredericksburg LTD
Dominion Imaging LLC
Practice addresses (Care Compare)
18 Wisteria Dr
Dover, NH 03820-5118
Phone (540) 741-9000
Hospital & facility affiliations
- Chesapeake General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240413000137 | NH | Practitioner - Nuclear Medicine | 7416228887 | Reassigns benefits to 4 organizations |
| I20260106002511 | VA | Practitioner - Diagnostic Radiology | 7416228887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22947 | NH | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Radiologic Associates of Fredericksburg LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Dominion Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Medical Imaging of Fredericksburg, LLC | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Diagnostic Radiology | Current |
Accepting new patients |
| Mary Hitchcock Memorial Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Medical Imaging of Fredericksburg, LLC | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients |
Locations (25 of 35)
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
1805 W City Dr
Ste H
Elizabeth City, NC 27909
Phone (252) 334-1602
1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
1021 Eden Way N
Ste 109
Chesapeake, VA 23320
Phone (757) 312-6267
648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797
1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746
10401 Spotsylvania Ave
Ste 103
Fredericksburg, VA 22408
Phone (540) 741-0555
10401 Spotsylvania Ave
Ste 101
Fredericksburg, VA 22408
Phone (540) 741-7720
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250
1201 Sam Perry Blvd
Ste 102
Fredericksburg, VA 22401
Phone (540) 741-7025
5501 Plank Rd
Ste 101
Fredericksburg, VA 22407
Phone (540) 741-3189
10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884
10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408
Phone (540) 654-9118
11131 Journal Pkwy
Ste B
King George, VA 22485
Phone (540) 709-5178
114 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-7890
8364 Bell Creek Rd
Mechanicsville, VA 23116
7515 Right Flank Rd
Mechanicsville, VA 23116
Phone (804) 662-6138
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 22947 | NH | |
| Diagnostic Radiology Physician | 2085R0202X | MD24325 | ME | Yes |
Addresses
Primary practice location
15 Hospital Dr
York, ME 03909-1099
Mailing address
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-6757
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000
Other providers in York, ME
- Elizabeth A. Dimino
- Casey Dipalma
- Ryan Dodge
- Andrew Doherty
- Danielle E Doherty
- Matthew J Donovan
- Nicole Brorsen Driggs
- Lana Dufour-Kosacz
- Sharon Dunnigan
- Valerie Dupill
All providers in York, ME · Diagnostic Radiology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.