Tony Wong Leung, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

07961R Issued in LA

Practice address

105 S Ryan St
Lake Charles, LA 70601-5950

Phone

(337) 497-0366

Fax

(337) 497-1367

NPI assigned

Jul 18, 2005

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

Other names 1

• Tony Wong Aw Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tony.leung@direct.davitaphysiciansolutions.com

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.

• Lake Charles Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Charles, LA
  • NPI 1306848205
  NPD (past) Authorized official

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1881693463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6574",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706066574",
            "telephone_number": "337-497-0366",
            "fax_number": "337-497-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015950",
            "telephone_number": "337-497-0366",
            "fax_number": "337-497-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "TONY",
        "middle_name": "WONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "07961R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386812",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "AW",
            "middle_name": "WONG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Leslie, PHARMD
• Lauryn Caitlin Leslie, APRN, FNP-C
• Daphne Letlow, PHARMD
• Letourneau Lifelike Orthotics & Prosthetics of Louisiana, Inc.
• Brittnee Darchelle Lett, MD
• Barry Michael Levet, M.D.
• Shanning Renee Levi
• Lexsus Levings
• Donna Richard Levy, FNP
• Kaitlin Lewing, ATC

• Nephrology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.