Scott Wong is a Surgery in Maryville, Illinois. Scott Wong practices all healthcare services and medical treatments related to Surgery. The NPI Number for Scott Wong is 1275604498. The last update date is 2023-01-18.
Scott Wong's current location address is 6810 State Route 162 Ste 100, Maryville, Illinois. You can contact this provider via phone number 6182883616 and fax number 6182883647. The mailing address for Scott Wong is 6810 State Route 162 Ste 100, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Wong |
|---|---|
| Address | 6810 State Route 162 Ste 100, Maryville, Illinois |
| Phone Number | 6182883616 |
| Fax Number | 6182883647 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275604498 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Ste 100 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628560 |
| Phone Number | 6182883616 |
| Fax Number | 6182883647 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 2017031136 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36103837002 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Scott Wong by the Centers for Medicare & Medicaid Services?
The Scott Wong has been assigned the NPI (National Provider Identifier) 1275604498 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Scott Wong?
The Scott Wong is situated at 6810 State Route 162 Ste 100, in the city of Maryville, state of IL, with the zip code 620628560.
What is Scott Wong's specialized field of practice, and what is the corresponding taxonomy classification code?
The Scott Wong's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275604498 to Scott Wong?
The Centers for Medicare & Medicaid Services originally issued the 1275604498 to Scott Wong on 2006-11-10.
As of what date was the information regarding Scott Wong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Scott Wong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-18.
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