Wai Jing Geraldine Kong

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

FT678 Issued in KY

Practice address

225 Abraham Flexner Way Ste 850
Louisville, KY 40202-1858

Phone

(502) 562-0312

NPI assigned

Aug 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1598596330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021858",
            "telephone_number": "502-562-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021858",
            "telephone_number": "502-562-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "WAI JING GERALDINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "FT678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komg-Louisville Region Inc.
• Komg-Louisville Region Inc.
• Jennifer Lynn Komis, MAMFT
• Michael Devon Kommor, MD
• Paula Kort Kommor, MED, NBC-HWC, ACC
• Sara Elizabeth Konger, COTA
• Jesse Kooistra
• Kool Smiles, PSC
• David Koonce, APRN
• William L Koontz, MD

• Surgery of the Hand (Surgery) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgery of the Hand (Surgery) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.