Tie S. Ong, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R3031 Issued in AR

Practice address

700 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 862-1577

NPI assigned

Aug 23, 2006

Last updated

Oct 15, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interventional and Diagnostic Radiology of South Arkansas, P.a.

  • Specialist
  • El Dorado, AR
  • NPI 1548599988
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1992812390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 THOMPSON AVE",
            "address_2": "P.O. BOX 506",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304557",
            "telephone_number": "870-862-1577",
            "fax_number": "870-862-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-862-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "TIE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "R3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP.'S MCARE PROV.#",
            "identifier": "5C070",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. MED.LICENSE #",
            "identifier": "R3031",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert O Obiozo, MD
• Carla Odom
• Odyssey Healthcare Operating a, LP (Gentiva)
• Adrain Nicole Oglesby
• Marlene Deiparine Oliver, P.T.
• Saralyn Louise Ontis, APRNP
• Or Ops, Inc. (Oak Ridge Health and Rehabilitation)
• Linda Diane Orton, LPC
• Harold Otwell
• Caryn Diane Owens

• Specialist in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.