Active NPI
Wayne Soong, MD
- Anesthesiology Physician
- Aurora, CO
National Provider Identifier
1790796811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036-111374
- Practice address
- 1700 Wheeling St
Aurora, CO 80045-7211 - Phone
- (720) 723-6230
- NPI assigned
- Aug 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 036-111374 | IL | |
| Anesthesiology Physician | 207L00000X | 036-111374 | IL | Primary |
Addresses
Primary practice location
1700 Wheeling St
Aurora, CO 80045-7211
Mailing address
1700 Wheeling St
Aurora, CO 80045-7211
Phone (720) 723-6230
Other practice location 1
680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Phone (312) 695-9797
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 |
|---|---|---|---|
| 036-111374 | IL | MD | Critical Care Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1790796811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WHEELING ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-723-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WHEELING ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-723-6230"
}
],
"practiceLocations": [
{
"address_1": "680 N Lake Shore Dr",
"address_2": "SUITE 1000",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114546",
"country_code": "US",
"telephone_number": "312-695-9797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOONG",
"first_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IL",
"license": "036-111374",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-111374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.