Active NPI
Ramona L Wong, MD
- Nephrology Physician
- Honolulu, HI
National Provider Identifier
1578507448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD4443
- Practice address
- 1020 Spencer St
#5
Honolulu, HI 96822-5100 - Phone
- (808) 521-4110
- Fax
- (808) 521-4110
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD4443 | HI | |
| Nephrology Physician | 207RN0300X | MD4443 | HI | Primary |
Addresses
Primary practice location
1020 Spencer St
#5
Honolulu, HI 96822-5100
Mailing address
1020 Spencer St
#5
Honolulu, HI 96822-5100
Phone (808) 521-4110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A0011195 | Other | HI | HMSA BLUE CROSS |
| 01074601 | Medicaid | HI | |
| 1578507448 | Other | HI | NPI |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4443 | HI | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1578507448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SPENCER ST",
"address_2": "#5",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968225100",
"telephone_number": "808-521-4110",
"fax_number": "808-521-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SPENCER ST",
"address_2": "#5",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968225100",
"telephone_number": "808-521-4110",
"fax_number": "808-521-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "RAMONA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD4443",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "HI",
"license": "MD4443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BLUE CROSS",
"identifier": "00A0011195",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01074601",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578507448",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.