Active NPI
Philip Wong Wong, MD
- Pulmonary Disease Physician
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME99701
- Practice address
- 4325 Sun N Lake Blvd Ste 102
Sebring, FL 33872-2171 - Phone
- (863) 382-1663
- Fax
- (863) 386-0162
- NPI assigned
- Apr 13, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 10496 | ND | |
| Pulmonary Disease Physician | 207RP1001X | M6468 | TX | |
| Pulmonary Disease Physician | 207RP1001X | 17471 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 238898 | NY | |
| Pulmonary Disease Physician | 207RP1001X | C52602 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 11841 | NV | |
| Pulmonary Disease Physician | 207RP1001X | ME99701 | FL | Primary |
Addresses
Primary practice location
4325 Sun N Lake Blvd Ste 102
Sebring, FL 33872-2171
Mailing address
4325 Sun N Lake Blvd Ste 102
Sebring, FL 33872-2171
Phone (863) 382-1663
Other practice location 1
4421 Sun N Lake Blvd
Suite B
Sebring, FL 33872-2172
Phone (863) 382-1663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279273700 | Medicaid | FL | |
| 0125040 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Saint Louis University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health System-Sunbelt Inc
Practice addresses (Care Compare)
533 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-3101
Hospital & facility affiliations
- Adventhealth Sebring
- Adventhealth Heart of Florida
- Adventhealth Wauchula
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52602 | CA | MD | Pulmonary Disease Physician |
| ME99701 | FL | MD | Pulmonary Disease Physician |
| 17471 | MS | MD | Pulmonary Disease Physician |
| 10496 | ND | MD | Pulmonary Disease Physician |
| 11841 | NV | MD | Pulmonary Disease Physician |
| 238898 | NY | MD | Pulmonary Disease Physician |
| M6468 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| Clarksdale Hma Physican Management, LLC | Past | Accepting new patients |
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
4421 Sun N Lake Blvd
Ste B
Sebring, FL 33872
Phone (863) 382-9600
4325 Sun N Lake Blvd
Ste 102
Sebring, FL 33872
Phone (863) 314-8600
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
533 Carlton St
Wauchula, FL 33873
Phone (863) 767-8256
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- pwong622092@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Rural Health Clinic/Center
- Clarksdale, MS
- NPI 1063654721
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Critical Access Hospital
- Wauchula, FL
- NPI 1275511651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1306800727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 SUN N LAKE BLVD STE 102",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722171",
"telephone_number": "863-382-1663",
"fax_number": "863-386-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 SUN N LAKE BLVD STE 102",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722171",
"telephone_number": "863-382-1663",
"fax_number": "863-386-0162"
}
],
"practiceLocations": [
{
"address_1": "4421 Sun N Lake Blvd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Sebring",
"state": "FL",
"postal_code": "338722172",
"country_code": "US",
"telephone_number": "863-382-1663",
"fax_number": "863-386-0162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "PHILIP",
"middle_name": "WONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ND",
"license": "10496",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "M6468",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MS",
"license": "17471",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "238898",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "C52602",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "11841",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME99701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279273700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125040",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.