Kong Wai Wong, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007900 Issued in MI

Practice address

28482 Cherry Hill Rd
Suite B
Garden City, MI 48135-4703

Phone

(734) 425-2828

Fax

(734) 425-1138

NPI assigned

Jun 23, 2006

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 Osteopathy

State licenses

Practice roles

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.

• Michigan Internal Medicine Associates,P.C.

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1902818230
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1952337818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28482 CHERRY HILL RD",
            "address_2": "SUITE B",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354703",
            "telephone_number": "734-425-2828",
            "fax_number": "734-425-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28482 CHERRY HILL RD",
            "address_2": "SUITE B",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354703",
            "telephone_number": "734-425-2828",
            "fax_number": "734-425-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KONG",
        "middle_name": "WAI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid N. Wilson, M.D.
• Joyce Wilson
• Matthew James Wilson, DO
• Aida Coka Wioncek, MOT, OTR/L
• David Wolnie, R.PH.
• Raymond Lamont Woodbury, DDS
• Monica Woodland, PA
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08075)
• Chaoneng Wu
• Shangxiao Xu, LAC

• Family Medicine Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.