Active NPI
Victoria Yulan Tong, D.O.
- Emergency Medicine Physician
- Marietta, OH
National Provider Identifier
1346576956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.010477
- Practice address
- 1106 Colegate Dr
Emergency Department
Marietta, OH 45750-1323 - Phone
- (740) 568-2000
- Fax
- (740) 568-2096
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.010477 | OH | Primary |
Addresses
Primary practice location
1106 Colegate Dr
Emergency Department
Marietta, OH 45750-1323
Mailing address
PO Box 449
Attn: Provider Enrollment
Marietta, OH 45750-0449
Phone (740) 374-6090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810026372 | Medicaid | WV | |
| 0088702 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.010477 | OH | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1346576956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457500449",
"telephone_number": "740-374-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 COLEGATE DR",
"address_2": "EMERGENCY DEPARTMENT",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457501323",
"telephone_number": "740-568-2000",
"fax_number": "740-568-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "VICTORIA",
"middle_name": "YULAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.010477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810026372",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088702",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.