William Paul Wondra, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1500756 Issued in KS

Practice address

141 W Elm St
Sedgwick County Detention Facility
Wichita, KS 67203-3848

Phone

(316) 383-7685

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205030145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W WATERFORD CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028813",
            "telephone_number": "316-733-8445",
            "fax_number": "316-733-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W ELM ST",
            "address_2": "SEDGWICK COUNTY DETENTION FACILITY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033848",
            "telephone_number": "316-383-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDRA",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1500756",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hugh Phong Wong, MD
• Jennifer Wong
• Joshua Cheng Bin Wong, PA-C

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.