Wai Wor Phoon, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C1-0000672 Issued in DE

Practice address

314 E Main St
Ste. 402, Kelway Plaza
Newark, DE 19711-7128

Phone

(302) 731-1006

Fax

(302) 731-1007

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1942201025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "STE. 402, KELWAY PLAZA",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-731-1006",
            "fax_number": "302-731-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "STE. 402, KELWAY PLAZA",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-731-1006",
            "fax_number": "302-731-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOON",
        "first_name": "WAI",
        "middle_name": "WOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C1-0000672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000019707",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Phillips
• Lisa Ellen Phillips, MD
• Taylor Phillips
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Charla Marie Phoenix, PAC
• Physicians Care of Newark, Inc
• Physiotherapy Associates Inc
• James A. Piacentine, DO
• Rachel Victoria Piane, CRNA
• John Michael Picard, M.D.

• Specialist in Newark, DE
• Providers in Newark, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.