Kenneth Hee Yong Dong, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

14212 Ambaum Blvd SW Ste 202
Seattle, WA 98166

Phone

(206) 243-4811

Fax

(206) 243-2822

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kdong1041490@wm.providencedirect.org

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.

• Southwest Pediatrics

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1659582385
  NPD (past) Authorized official
• Highline Medical Center

  • General Acute Care Hospital
  • Burien, WA
  • NPI 1558333682
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306911425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-243-4811",
            "fax_number": "206-243-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-243-4811",
            "fax_number": "206-243-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "KENNETH",
        "middle_name": "HEE YONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8210312",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dong Nai Pharmacy
• Amy Dong, RN
• Chao Dong
• Jack Tuo Dong, MD
• Jason Dong
• Stephen Dong, MD
• Wensi Dong, LMFTA
• Zhao Ming Dong, M.D., PH.D.
• Donghyun Koo DDS PC
• Shanna Donhauser, MSW

• Pediatrics Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatrics Physician in Washington

• 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.