Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evadne CHI Ong, MD

Individual provider Internal Medicine Physician · NPI 1336391721

Dr. Evadne CHI Ong, MD is an Internal Medicine in Jamestown, New York. Qualified in 2003, 23 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 S Main St Ste 150
Jamestown, NY 14701-6627
Phone: (716) 484-8610
Fax: (716) 484-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 267555-01 (NY)

Record details

NPI number1336391721
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESJanuary 25, 2024
Certification dateJuly 14, 2023
Mailing address15 S Main St Ste 150, Jamestown, NY 14701-6627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Jamestown