Russell Wong MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

7430 Issued in HI

Legal business name

RUSSELL WONG MD INC

Practice address

321 N Kuakini St Ste 811
Honolulu, HI 96817-2362

Phone

(808) 531-2731

NPI assigned

Aug 5, 2006

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Wong, M.D.NPI 1376573808

Title

President

Phone

(808) 531-2731

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Wong, M.D.

  • Infectious Disease Physician
  • Honolulu, HI
  • NPI 1376573808
  Authorized official Same address or phone
• Clive I Otsuka, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1447256094
  NPD (past)
• Mari K Otsuka I, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1538165188
  NPD (past)
• Ryan Otsuka, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1962765826
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1780693267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 811",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-531-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL WONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-531-2731",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "HI",
            "license": "7430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameron Elizabeth Russ, ATC
• Russell G Tacata MD
• Russell K Tasaka, DMD
• Russell K Tasaka, DMD
• Russell K Tasaka, DMD, LLC (Honolulu Center for Dentistry)
• Joanna Marie Russell, M.D.
• Laura A. Russell, MD
• Saba S. Russell, MD
• Malia Russo
• Michael B Russo, M.D.

• Infectious Disease Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Infectious Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.