Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elsom Wong, PA-C

Individual provider Physician Assistant · NPI 1679353064

Elsom Wong, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2022, 4 years ago. Practices with Variety Care, Inc, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1025 Straka Ter
Oklahoma City, OK 73139-2544
Phone: (405) 632-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8900 Se 15th St, Midwest City, OK 73110-8002 — (405) 737-3278

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5052 (OK)

Record details

NPI number1679353064
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Variety Care, Inc. — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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