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KIN S WONG D.O. NPI 1760440531


NPI Information

NPI: 1760440531
Provider Name: KIN S WONG, D.O.
Classification: Clinic/Center - 261QU0200X
Entity Type: Individual

Specialization: Urgent Care

Organization: WELLMED MEDICAL GROUP PA

PECOS Registration: Yes

Address:
2327 N RIVERSIDE DR
FORT WORTH, TX
ZIP 76111
Phone: (817) 834-1655
Get Directions

Kin S Wong, D.O. is an urgent care clinic center in Fort Worth, TX with 26 years of experience. Kin S Wong, D.O. NPI is 1760440531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:1998

The provider's business location address is:

2327 N RIVERSIDE DR
FORT WORTH, TX
ZIP 76111-904
Phone: (817) 834-1655
Fax: (817) 834-1659

The NPI 1760440531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 9/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineK9458TEXASNo
2261QU0200XClinic/CenterUrgent CareK9458TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18G1189MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2149752104MEDICAIDTEXAS
30063LSOTHERTEXASBCBS
4H56846MEDICARE UPINTEXAS
5149752111MEDICAIDTEXAS
68B5869MEDICARE PINTEXAS
7611121MEDICARE PINTEXAS
8149752106MEDICAIDTEXAS
9P00193257MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.