Active NPI
Jwong H Ling, M.D.
- Radiation Oncology Physician
- West Branch, MI
National Provider Identifier
1255325445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4301031404
- Practice address
- 2431 South M30
Seton Cancer Institute Radiation Oncology
West Branch, MI 48661 - Phone
- (989) 343-3600
- Fax
- (989) 343-3610
- NPI assigned
- Sep 2, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD460447 | PA | |
| Therapeutic Radiology Physician | 2085R0203X | 43709 | MN | |
| Radiation Oncology Physician | 2085R0001X | 4301031404 | MI | Primary |
Addresses
Primary practice location
2431 South M30
Seton Cancer Institute Radiation Oncology
West Branch, MI 48661
Mailing address
2431 South M30
Seton Cancer Institute Radiation Oncology
West Branch, MI 48661
Phone (989) 343-3600
Other practice location 1
3535 Southern Blvd
Dayton, OH 45429-1221
Phone (937) 395-6665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687650100 | Medicaid | MN | |
| 73B34LI | Other | MN | BLUE CROSS/BLUE SHIELD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ | ||
| Direct Messaging Address | jling913679@direct.ketteringhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Mid-Minnesota Radiation Oncology, PA | Radiation Oncology | Past | Accepting new patients |
Interoperability endpoints
- jling2903091@direct.trinity-health.org
- jling237742@direct.metrohealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Radiation Oncology Physician
- Edina, MN
- NPI 1215921408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1255325445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 SOUTH M30",
"address_2": "SETON CANCER INSTITUTE RADIATION ONCOLOGY",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "48661",
"telephone_number": "989-343-3600",
"fax_number": "989-343-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 SOUTH M30",
"address_2": "SETON CANCER INSTITUTE RADIATION ONCOLOGY",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "48661",
"telephone_number": "989-343-3600",
"fax_number": "989-343-3610"
}
],
"practiceLocations": [
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-395-6665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LING",
"first_name": "JWONG",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD460447",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "MN",
"license": "43709",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301031404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687650100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "73B34LI",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jling913679@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.