Active NPI
Wayland Wong, M.D.
- Otolaryngology Physician
- Salem, OH
National Provider Identifier
1780628966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35-094756
- Practice address
- 2020 E State St
Suite G
Salem, OH 44460-2480 - Phone
- (330) 332-4900
- Fax
- (330) 332-7724
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35-094756 | OH | Primary |
Addresses
Primary practice location
2020 E State St
Suite G
Salem, OH 44460-2480
Mailing address
2020 E State St
Suite K
Salem, OH 44460-2480
Phone (330) 332-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3022679 | Medicaid | OH |
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 |
|---|---|---|---|
| 35-094756 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Agency of Columbiana County Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Hanoverton, OH
- NPI 1225914112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1780628966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E STATE ST",
"address_2": "SUITE K",
"city": "SALEM",
"state": "OH",
"postal_code": "444602480",
"telephone_number": "330-332-4900",
"fax_number": "330-332-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E STATE ST",
"address_2": "SUITE G",
"city": "SALEM",
"state": "OH",
"postal_code": "444602480",
"telephone_number": "330-332-4900",
"fax_number": "330-332-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "WAYLAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35-094756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3022679",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.