LARRY T. WONG, D.O., P.A.
NPI 1376715409
Surgery in Panama City, FL

Active since March 28, 2008
502 N MACARTHUR AVE, SUITE C, PANAMA CITY, FL 32401(850) 215-1080(850) 215-1086 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Larry T. Wong, D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY T. WONG, D.O., P.A. (NPI 1376715409) is a healthcare organization registered as a surgery in Panama City, Florida and active in the NPI registry since March 2008. The organization lists Larry T Wong, Physician, as its authorized official.

NPPES Registry Identity

NPI1376715409
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLARRY T. WONG, D.O., P.A.
Location Address502 N MACARTHUR AVE, SUITE CPanama City, FL 32401-3654
Mailing Address502 N Macarthur Ave, Suite CPanama City, FL 32401-3654 · (850) 215-1080 · Fax (850) 215-1086
Fax(850) 215-1086
Organization SubpartNo
Authorized OfficialLarry T WongPhysician · (850) 215-1080
Enumeration DateMarch 28, 2008
Last NPPES UpdateOctober 15, 2012
✔ NPI 1376715409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · OS9154
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
502 N MACARTHUR AVE, Panama City, FL 32401

Other Identifiers 5

Other48027YMedicare Provider Number
Other48027Blue Cross/blue Shield
Medicare PINK8100FL
Medicaid270357200FL
Medicare UPINI20327FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry T. Wong, D.o., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Larry T. Wong, D.O., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1689641599
502 N MACARTHUR AVE SUITE C
Panama City, FL 32401
(850) 215-1080
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry T. Wong, D.O., P.A.'s NPI number?

The NPI number for Larry T. Wong, D.O., P.A. is 1376715409. It was assigned to this organization in the NPPES registry on March 28, 2008.

Where is Larry T. Wong, D.O., P.A. located?

Larry T. Wong, D.O., P.A. is located at 502 N Macarthur Ave Suite C, Panama City, FL 32401. The listed phone number is (850) 215-1080.

What is Larry T. Wong, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Larry T. Wong, D.O., P.A. enrolled in Medicare?

Yes. Larry T. Wong, D.O., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Larry T. Wong, D.O., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Larry T. Wong, D.O., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Larry T. Wong, D.O., P.A. was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.