Benny Wong Lam, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0642 Issued in TX

Practice address

1702 Kell Blvd
Wichita Falls, TX 76301-5627

Phone

(940) 766-1292

Fax

(940) 723-1650

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Beyondfaith Hospice of Jacksboro, LLC

  • Community Based Hospice Care Agency
  • Wichita Falls, TX
  • NPI 1225422694
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1871789602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015627",
            "telephone_number": "940-766-1292",
            "fax_number": "940-723-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015627",
            "telephone_number": "940-766-1292",
            "fax_number": "940-723-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "BENNY",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "0642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018702302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Labbe Optometric Clinic,Inc.
• Laboratory Corporation of America
• Kendall Jo Lacy, OTR
• Katherine La Rue Lain, P.T.
• Amy Fatheree Lam, LPC
• Mei San Lam, O.D.
• Vickie Lamb, LPC
• Dee Ann Lambert, LCSW
• Gates Lambeth, LMSW
• Makayla Lynn Lancaster

• Foot Surgery Podiatrist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.