NPIMap

Individual provider Active NPI

Dawn Wong, PA-C

  • Physician Assistant
  • Leawood, KS
National Provider Identifier
1245874775
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02986 Issued in KS
Practice address
3651 College Blvd Ste 200
Leawood, KS 66211-1910
Phone
(913) 319-7633
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02986 KS Primary
Physician Assistant 363A00000X 56845 CA

Addresses

Primary practice location

3651 College Blvd Ste 200
Leawood, KS 66211-1910

Mailing address

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200106002738 CA Practitioner - Physician Assistant 6709210404 Reassigns benefits to 1 organization
I20250103002269 MO Practitioner - Physician Assistant 6709210404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02986KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Jan 13, 2025 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 1, 2022 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jan 13, 2025 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 1, 2022 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

2101 Charlotte St
Ste 190
Kansas City, MO 64108
Phone (816) 404-0072

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

7900 Lees Summit Rd
Fl 1
Kansas City, MO 64139
Phone (816) 478-7904

Interoperability endpoints

  • Direct secure messaging: dawn.wong.p1@direct.muirortho.nextgenshare.com

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 6

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1245874775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD STE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02986",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.