Active NPI
Dorothy L. P. Wong, MD, LLC
- Geriatric Medicine (Internal Medicine) Physician
- Yuma, AZ
National Provider Identifier
1912191404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 22877
- Legal business name
- DOROTHY L. P. WONG, MD, LLC
- Practice address
- 1025 W 24TH St
Suite 26
Yuma, AZ 85364-8366 - Phone
- (928) 344-5455
- Fax
- (928) 344-5465
- NPI assigned
- Aug 28, 2007
- Last updated
- Jan 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dorothy Lai Ping Wong, M.D.
- Title
- President
- Phone
- (928) 344-5455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 22877 | AZ | Primary |
Addresses
Primary practice location
1025 W 24TH St
Suite 26
Yuma, AZ 85364-8366
Mailing address
1025 W 24TH St
Suite 26
Yuma, AZ 85364-8366
Phone (928) 344-5455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330085 | Medicaid | AZ | |
| 110180845 | Other | AZ | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Yuma, AZ
- NPI 1356315865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327449600000",
"number": "1912191404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W 24TH ST",
"address_2": "SUITE 26",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648366",
"telephone_number": "928-344-5455",
"fax_number": "928-344-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W 24TH ST",
"address_2": "SUITE 26",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648366",
"telephone_number": "928-344-5455",
"fax_number": "928-344-5465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOROTHY L. P. WONG, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2012-01-25",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "LAI PING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-344-5455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "AZ",
"license": "22877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330085",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110180845",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.