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

Richard Wong, DO

Individual provider Pediatric Pulmonology Physician · NPI 1174020200

Richard Wong, DO is a Pulmonary Disease in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0985
Fax: (602) 933-2423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3030 Childrens Way Ste 205, San Diego, CA 92123-4227 — (858) 966-5846

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X · Licence 010765 (AZ)

Record details

NPI number1174020200
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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