Active NPI
Jennifer Tan Ong, MD
- Family Medicine Physician
- Battle Ground, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60621126
- Practice address
- 2005 W Main St
Battle Ground, WA 98604-4311 - Phone
- (360) 882-2778
- Fax
- (360) 604-1762
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5916 | SD | |
| Family Medicine Physician | 207Q00000X | MD60621126 | WA | Primary |
Addresses
Primary practice location
2005 W Main St
Battle Ground, WA 98604-4311
Mailing address
PO Box 873010
Vancouver, WA 98687-3010
Phone (360) 882-2778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061732 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2005 W Main St
Battle Ground, WA 98604-4311
Phone (360) 882-2778
Hospital & facility affiliations
- Peacehealth Southwest Home Health
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Family Medicine | Current | Accepting new patients |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients |
Locations
2005 W Main St
Ste 110
Battle Ground, WA 98604
2005 W Main St
Battle Ground, WA 98604
Phone (360) 604-1600
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Interoperability endpoints
- jtanong10488@tvc-direct.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1992801682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873010",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986873010",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W MAIN ST",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044311",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "JENNIFER",
"middle_name": "TAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "5916",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60621126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061732",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.