Roger Jonathan Ong in Southfield - Physician Assistant

Roger Jonathan Ong - NPI 1992704167

Roger Jonathan Ong is a Physician Assistant in Southfield, Michigan. Roger Jonathan Ong practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roger Jonathan Ong is 1992704167. The last update date is 2021-06-21.

Roger Jonathan Ong's current location address is 16001 W 9 Mile Rd # 3, Southfield, Michigan. You can contact this provider via phone number 2488492600 and fax number 2488492610. The mailing address for Roger Jonathan Ong is 16001 W 9 Mile Rd # 3, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger Jonathan Ong
Address 16001 W 9 Mile Rd # 3, Southfield, Michigan
Phone Number 2488492600
Fax Number 2488492610
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1992704167
Provider Enumeration Date 2005-07-19
Last Updated Date 2021-06-21

Provider Mailing Address Detail

Address 16001 W 9 Mile Rd # 3
City Southfield
State Michigan (MI)
Post Code 480754818
Phone Number 2488492600
Fax Number 2488492610

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1051924 NATIONAL-NCCPA

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FAQs about Roger Jonathan Ong

What is the unique 10-digit identifier code issued to Roger Jonathan Ong by the Centers for Medicare & Medicaid Services?

The Roger Jonathan Ong has been assigned the NPI (National Provider Identifier) 1992704167 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Roger Jonathan Ong?

The Roger Jonathan Ong is physically situated at 16001 W 9 Mile Rd # 3, in the city of Southfield, state of MI, with the postal code 480754818.

What is Roger Jonathan Ong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Roger Jonathan Ong's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992704167 to Roger Jonathan Ong?

The Centers for Medicare & Medicaid Services originally issued the 1992704167 to Roger Jonathan Ong on 2005-07-19.

When was the information pertaining to Roger Jonathan Ong most recently updated or revised?

The details related to Roger Jonathan Ong, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-21.

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