Gerald D Gong
M.D. | Pediatric Pulmonology | Male
Gerald D Gong, M.D. is a Phoenix, Arizona based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Gerald D Gong is
1919 E Thomas Rd, Phoenix, Arizona - 85016-7710. He can be contacted on phone at
602-933-0985 and fax number 602-933-2423.
Gerald D Gong is a sole proprietor of his business.
NPI number (Unique professional ID) for Gerald D Gong is
1558323105 which was assigned by NPPES on 06 Apr, 2006 and it was last updated on 25 Mar, 2019.
Gerald D Gong license number is
19431 for Pediatrics Pediatric Pulmonology (2080P0214X) in Arizona.
Gerald D Gong is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Gerald D Gong basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Pulmonology |
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Provider Name : | Gerald D Gong |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
Gerald D Gong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 1919 E Thomas Rd Phoenix, AZ, 85016-7710 United States |
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Phone Number : | 602-933-0985 |
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Fax Number : | 602-933-2423 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1558323105 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 06 Apr, 2006 |
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Last Updated On : | 25 Mar, 2019 |
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Medicare Participation:
Gerald D Gong participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 0345263083 |
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Medicare Enrollment ID : | I20060109001047 |
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Primary Specialty : | Pulmonary Disease |
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Medical School : | Loyola University Of Chicago, Stritch School Of Medicine |
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Graduation Year : | 1986 |
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Accepts Medicare? | Yes. Gerald D Gong accepts medicare insurance. |
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Group Practice Association:
Gerald D Gong is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Gerald D Gong is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Phoenix Children's Hospital | 0446278584 | 278 | 1919 E Thomas Rd Phoenix, AZ - 850167710 Ph: 6029331000 | Yes |
Phoenix Children's Hospital | 0446278584 | 278 | 5131 E Southern Ave Mesa, AZ - 852062799 Ph: 6029330002 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gerald D Gong are as mentioned. Primary taxonomy code for Gerald D Gong, M.D. is
2080P0214X (Pediatrics Pediatric Pulmonology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0214X | Pediatrics Pediatric Pulmonology | Yes | 19431 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Gerald D Gong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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327412 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 3200 E Camelback Rd, Ste 250 Phoenix, AZ, 85018-2327 United States |
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Phone Number : | 602-933-1813 |
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Business Location:
Patients can refer following map for directions to
Gerald D Gong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.