Individual provider Active NPI

Edward Sang Wong, M.D.

  • Infectious Disease Physician
  • Richmond, VA
National Provider Identifier
1760421473
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101036283 Issued in VA
Practice address
2220 Edward Holland Drive
Richmond, VA 23230-2519
Phone
(804) 678-7091
Fax
(804) 204-1724
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101036283 VA Primary

Addresses

Primary practice location

2220 Edward Holland Drive
Richmond, VA 23230-2519

Mailing address

4299 San Felipe
Suite 300
Houston, TX 77027-2916
Phone (832) 476-3900

Other identifiers 1

IdentifierTypeStateIssuer
1760421473MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20091022000425 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0244377372 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Infectious Disease Group Infectious Disease CurrentSince Jun 10, 2023 Accepting new patients
Clark Alliance Services Inc CurrentSince May 8, 2023 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients
Ihnonpar, Inc. Past Accepting new patients

Locations

2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

Organizations & group practices 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1760421473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 SAN FELIPE",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272916",
            "telephone_number": "832-476-3900",
            "fax_number": "832-476-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 EDWARD HOLLAND DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302519",
            "telephone_number": "804-678-7091",
            "fax_number": "804-204-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "EDWARD",
        "middle_name": "SANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101036283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760421473",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.