Henry M Kwong, M.D. a Prof Med Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

012632 Issued in LA

Legal business name

HENRY M KWONG, M.D. A PROF MED CORP

Practice address

607 Rue de Brille
New Iberia, LA 70563

Phone

(337) 367-1247

Fax

(337) 365-7496

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

HENRY M. KWONG, M.D. A PROF MEDICAL CORPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry Mark Kwong, M.D. Sr., M.D.

Title

President

Phone

(337) 367-1247

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Henry M Kwong MD

Locations

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.

• Henry Mark Kwong Sr., MD

  • Ophthalmology Physician
  • New Iberia, LA
  • NPI 1437235652
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1922336817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RUE DE BRILLE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70563",
            "telephone_number": "337-367-1247",
            "fax_number": "337-365-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RUE DE BRILLE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70563",
            "telephone_number": "337-367-1247",
            "fax_number": "337-365-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY M KWONG, M.D. A PROF MED CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY M. KWONG, M.D. A PROF MEDICAL CORP",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "KWONG, M.D.",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-367-1247",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "012632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1197980",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.