Tai Keong Wong, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G1805 Issued in TX

Practice address

2203 W 35TH St
Austin, TX 78703-1203

Phone

(512) 374-6950

Fax

(512) 374-6080

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952494064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12907 TANTARA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787296450",
            "telephone_number": "512-335-3421",
            "fax_number": "512-335-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W 35TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031203",
            "telephone_number": "512-374-6950",
            "fax_number": "512-374-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TAI",
        "middle_name": "KEONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0037AM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Shawn Wong, M.D.
• Matthea Jessica Wong
• Mitchel Wong, MD
• Robert Wong, MD
• Shannon M Wong, MD
• Vincent Wong, PHARM D
• Waiyan Wong, L.AC , LMT
• Wesley Wong, PA-C
• Yvonne Wong, M.D.
• Edwin Woo, D.O.

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• 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.

Verify at the official NPI Registry.