Individual provider Active NPI

Vivian C Ong, MD

  • Pediatrics Physician
  • Irvine, KY
National Provider Identifier
1740286376
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
32891 Issued in KY
Practice address
223 River Dr
Irvine, KY 40336-1142
Phone
(606) 723-5142
Fax
(606) 723-3798
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 32891 KY Primary

Addresses

Primary practice location

223 River Dr
Irvine, KY 40336-1142

Mailing address

PO Box 908
Irvine, KY 40336-0908
Phone (606) 723-5142

Other identifiers 1

IdentifierTypeStateIssuer
64328917MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20031211000985 KY Practitioner - Pediatric Medicine 4385540046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32891KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Care, PLLC Pediatrics Current Accepting new patients
Children'S Care, PLLC Pediatrics CurrentSince May 12, 2005 Accepting new patients
River Drive Pharmacy LLC Current Accepting new patients

Locations

62 Mercy Ct
Irvine, KY 40336
Phone (606) 723-5142

223 River Dr
Irvine, KY 40336
Phone (606) 723-5142

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1740286376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403360908",
            "telephone_number": "606-723-5142",
            "fax_number": "606-723-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-723-5142",
            "fax_number": "606-723-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "VIVIAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64328917",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.