Marie Wong

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

61048 Issued in HI

Practice address

2303 Higgins Rd Ste F
Platte City, MO 64079-7101

Phone

(913) 758-6980

NPI assigned

May 17, 2023

Last updated

May 17, 2023By the provider in NPPES

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

Other names 1

• Marie Walstrum Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1699466912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485014",
            "telephone_number": "808-295-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HIGGINS RD STE F",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797101",
            "telephone_number": "913-758-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "HI",
            "license": "61048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marie.wong@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2303 Higgins Rd Ste F",
            "city": "Platte City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640797101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "WALSTRUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne F Westfall, D.D.S.
• Johnna K. Wilcox, MD
• Katherine Grace Wildhaber, PT, DPT
• Joshua Wilson
• Niccole M Winistoerfer, PHARMD
• Elaine Wright
• Sierra Ann Wright
• Alisha Wriston
• Russell Stewart Yocum, DO
• Tina Marie Zamora, RBT

• Adult Medicine Physician in Platte City, MO
• Providers in Platte City, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.