Marshall L Wong, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G6100 Issued in TX

Practice address

4144 N. Central Expressway
Suite 360
Dallas, TX 75204-2156

Phone

(214) 827-7460

Fax

(214) 826-6858

NPI assigned

Jun 17, 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 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwong@direct.uspi.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.

• Dallas Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1497700280
  Medicare reassignment NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564
  Medicare reassignment NPD
• U S Anesthesia Partners of Texas, PA

  • Interventional Pain Medicine Physician
  • Addison, TX
  • NPI 1053800391

  Anesthesiology

  NPD
• DRS. Porter and Sone & Associates, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1427253285
  NPD (past)
• Medical Center Medical Group

  • Anesthesiology Physician
  • Texarkana, TX
  • NPI 1720046444
  NPD (past)
• Metropolitan Anesthesia Consultants, PA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1669425112
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1902801749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N. CENTRAL EXPRESSWAY",
            "address_2": "SUITE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042156",
            "telephone_number": "214-827-7460",
            "fax_number": "214-826-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N. CENTRAL EXPRESSWAY",
            "address_2": "SUITE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042156",
            "telephone_number": "214-827-7460",
            "fax_number": "214-826-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MARSHALL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G6100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157245502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157245505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P01446835",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EH851",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Wong
• Kenneth Paul Wong, DDS
• Kevan L Wong, M.D.
• Lilly Wong, RN
• Lolo Wong, D.D.S.
• Mary Yimling Wong, WHNP
• Melissa Wong
• Patrick Elliott Wong, DDS, MD
• Pauline Karen Wong, DO
• Pei Chern Wong, RNFA

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.