Active NPI
Jeffery H Wong, MD
- Anesthesiology Physician
- Aberdeen, WA
National Provider Identifier
1922021419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00041288
- Practice address
- 915 Anderson Dr
Aberdeen, WA 98520-1006 - Phone
- (360) 537-5191
- Fax
- (360) 537-5004
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00041288 | WA | Primary |
Addresses
Primary practice location
915 Anderson Dr
Aberdeen, WA 98520-1006
Mailing address
1001 N H St
Aberdeen, WA 98520-2520
Phone (360) 537-6113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8318826 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00041288 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodd Hyer, M.D. LTD | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1477599330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922021419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N H ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202520",
"telephone_number": "360-537-6113",
"fax_number": "360-537-6146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 ANDERSON DR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985201006",
"telephone_number": "360-537-5191",
"fax_number": "360-537-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JEFFERY",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00041288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8318826",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.