Larry T. Wong, D.O., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS9154 Issued in FL

Legal business name

LARRY T. WONG, D.O., P.A.

Practice address

502 N Macarthur Ave
Suite C
Panama City, FL 32401-3654

Phone

(850) 215-1080

Fax

(850) 215-1086

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Larry T Wong, D.O.NPI 1689641599

Title

Physician

Phone

(850) 215-1080

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry T Wong, D.O.

  • Surgery Physician
  • Panama City, FL
  • NPI 1689641599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1376715409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N MACARTHUR AVE",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013654",
            "telephone_number": "850-215-1080",
            "fax_number": "850-215-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N MACARTHUR AVE",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013654",
            "telephone_number": "850-215-1080",
            "fax_number": "850-215-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY T. WONG, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-215-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS9154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "48027Y",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270357200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "48027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Lapointe, DMD
• Kristina Laptsevich, APRN
• Leslie Sjahn Large, MS CCC-SLP
• Ashlie Larimore
• Sarah Nicole Larkin, APRN
• William David Larson, IDC
• Michelle Camille Lasater, LCSW
• Tymesha Lasley
• Elena Laufer, M.ED., C.R.C., C.V.E
• Jennifer Marie Laufman

• Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.