Eugene G C Wong MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

1785 Issued in HI

Legal business name

EUGENE G C WONG MD INC

Practice address

1380 Lusitana St Ste 814
Honolulu, HI 96813-2444

Phone

(808) 521-3802

NPI assigned

Nov 22, 2006

Last updated

Aug 22, 2020By 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

Eugene G C Wong, M.D.NPI 1972598605

Title

Physician

Phone

(808) 521-3802

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Eugene G C Wong MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nephrology Consultants

  • Specialist
  • Honolulu, HI
  • NPI 1124064621
  NPD tax ID

Locations

Practitioners 2

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.

• Eugene G C Wong, MD

  • Nephrology Physician
  • Honolulu, HI
  • NPI 1972598605
  Medicare reassignment NPD Authorized official
• Josette Dudoit, APRN-RX, R.D.

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1083846273
  Medicare reassignment NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801961909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132444",
            "telephone_number": "808-521-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132444",
            "telephone_number": "808-521-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE G C WONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "G C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-521-3802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03139301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "CO34813",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorna Calupig Estrada, RPT
• Ethan CT Pien MD LLC
• Noel Nanako Eto, L.M.T.
• Lauren Marie Eudoxie, M.SLP
• Michael Delane Eudy, PHARM D.
• Eugene G. C. Wong, MD, Inc.
• Eugene K.L. Young, O.D., Inc.
• Eugene M C Lee MD
• Eugene M. Azuma, D.D.S., Inc.
• Eugene S. Matsuyama, M.D., Inc.

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.