Kin Wong, D.O., PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

K9458 Issued in TX

Legal business name

KIN WONG, D.O., PA

Doing business as

Riverside Healthcare Clinic

Practice address

2327 N Riverside Dr
Fort Worth, TX 76111-2904

Phone

(817) 834-1655

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kin Sing Wong, D.O.

Title

Owner/President

Phone

(817) 834-1655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverside Healthcare Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Eltiar, APRN, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1518414341
  NPD (past)
• Nongnuch Kuligowski

  • Family Nurse Practitioner
  • Denton, TX
  • NPI 1013473248
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1972771319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112904",
            "telephone_number": "817-834-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112904",
            "telephone_number": "817-834-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN WONG, D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KIN",
        "authorized_official_middle_name": "SING",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-834-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "K9458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164487401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick C Kimball, PT
• Brooke Elaine Kimbrell, MD
• Kaitlyn Shane Kimbrough, PA-C
• Madeline Kime, MS, CCC-SLP
• Tanya Kimmey, NP
• Mei Li Kincaid, PA-C
• Erica Kinchen
• Kind Days for Medical Assistant Services
• Catherine Glenn Kinderknecht, CNPN-AC
• Karen Marie Kindler, PA-C

• Urgent Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Urgent Care Clinic/Center in Texas

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