Richard J Gong, MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G9105 Issued in TX

Legal business name

RICHARD J GONG, MD PA

Practice address

2455 NE Loop 410
Suite 245
San Antonio, TX 78217-5649

Phone

(210) 654-0866

Fax

(210) 654-8723

NPI assigned

Dec 9, 2010

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard John Gong, M.D.NPI 1346279189

Title

Doctor/Owner

Phone

(210) 654-0866

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard John Gong, MD

  • Surgery Physician
  • San Antonio, TX
  • NPI 1346279189
  Authorized official Same address or phone

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1356644561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410",
            "address_2": "SUITE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175649",
            "telephone_number": "210-654-0866",
            "fax_number": "210-654-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410",
            "address_2": "SUITE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175649",
            "telephone_number": "210-654-0866",
            "fax_number": "210-654-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J GONG, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "210-654-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G9105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032677901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346279189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Rich
• Richard a. Espey M.D. P.L.L.C.
• Richard C Adam DPM PA (Associated Foot Specialists of San Antonio)
• Richard C. Senelick, MD, PA
• Richard E Fischer and Associates PA (Zia Surgical Associates)
• Richard Layne, Ma, LPC, Tic
• Richard M Lackritz, Mdpa
• Richard N. Mack (Marriage & Family Therapy Associates)
• Richard Palmer, M.D., P.a.
• Richard R Rigsby

• Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.