Active NPI
Joseph S Kong, M.D.
- Radiation Oncology Physician
- Port Arthur, TX
National Provider Identifier
1902805054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G0912
- Practice address
- 8333 9TH Ave
Suite G
Port Arthur, TX 77642-8083 - Phone
- (409) 729-8088
- Fax
- (409) 729-8089
- NPI assigned
- Jul 20, 2005
- Last updated
- Mar 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G0912 | TX | Primary |
Addresses
Primary practice location
8333 9TH Ave
Suite G
Port Arthur, TX 77642-8083
Mailing address
8333 9TH Ave
Suite G
Port Arthur, TX 77642-8083
Phone (409) 729-8088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127842606 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altus Radiation Oncology (Baytown) LP | Past | Accepting new patients | |
| CCNW I LP | Past | Accepting new patients | |
| Golden Triangle Radiation Oncology PLLC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Clinic/Center
- Baytown, TX
- NPI 1285955708
-
- Radiation Oncology Physician
- Port Arthur, TX
- NPI 1720175086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1902805054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 9TH AVE",
"address_2": "SUITE G",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428083",
"telephone_number": "409-729-8088",
"fax_number": "409-729-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 9TH AVE",
"address_2": "SUITE G",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428083",
"telephone_number": "409-729-8088",
"fax_number": "409-729-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "JOSEPH",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "G0912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127842606",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.