Active NPI
Wang Kwong Koon, M.D.
- Personal Emergency Response Attendant
- Laurel, MD
National Provider Identifier
1710936802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- D0016605
- Practice address
- 7300 Van Dusen Rd
Laurel, MD 20707-9266 - Phone
- (301) 497-7954
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | D0016605 | MD | Primary |
Addresses
Primary practice location
7300 Van Dusen Rd
Laurel, MD 20707-9266
Mailing address
7508 Glennon Dr
Bethesda, MD 20817-2031
Phone (301) 469-6941
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 |
|---|---|---|---|
| D0016605 | MD | MD | Personal Emergency Response Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contee Emergency Physicians | Past | Accepting new patients | |
| Dimensions Health Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Laurel, MD
- NPI 1710936398
-
- Diagnostic Radiology Physician
- Bowie, MD
- NPI 1124057427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710936802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7508 GLENNON DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172031",
"telephone_number": "301-469-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 VAN DUSEN RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079266",
"telephone_number": "301-497-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOON",
"first_name": "WANG",
"middle_name": "KWONG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "MD",
"license": "D0016605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.