Perry Wong, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35051769 Issued in OH

Practice address

10450 New Haven Rd
Harrison, OH 45030-2780

Phone

(513) 981-5852

Fax

(513) 367-8031

NPI assigned

May 30, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Health Physicians Cincinnati LLC

  dba Mercy Health - Orthopaedics and Spine, Liberty Falls

  • Durable Medical Equipment & Medical Supplies
  • Liberty Township, OH
  • NPI 1790281517
  NPD
• Mercy Health Physicians Cincinnati, LLC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1205887023
  NPD

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1427005784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 NEWHAVEN ROAD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "45030",
            "telephone_number": "513-981-5852",
            "fax_number": "513-367-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-981-5852",
            "fax_number": "513-367-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "PERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0625612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Wilson
• Kathleen Wimmel, RPH
• Jenna Witt, OTR/L
• Bridget Therese Wojciak, RD
• Samantha M Wolfe, ED.S, NCSP
• Sarah Wylds, NP
• Katie Young
• Isabella Marina Zembrodt, LMHC, LPCC
• Lisa Zenni
• Suzanne Ziemba

• Family Medicine Physician in Harrison, OH
• Providers in Harrison, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.