DOMONIQUE WONG
NPI 1497200455
Nurse Practitioner - Family in Mayfield Hts, OH

Active since August 19, 2016
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124(440) 312-4500 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 23, 2019, Aug 19, 2016 (2 updates tracked since 2016).

About Domonique Wong NPPES

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

DOMONIQUE WONG (NPI 1497200455) is an individual family provider in Mayfield Hts, Ohio, licensed in Ohio (CNP.019628) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1497200455
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMONIQUE WONG
Location Address6780 MAYFIELD RDMayfield Hts, OH 44124-2203
Mailing Address6780 Mayfield RdMayfield Hts, OH 44124-2203 · (440) 312-4500
Sole ProprietorNo
Enumeration DateAugust 19, 2016
Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration
NPI 1497200455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · CNP.019628
6780 MAYFIELD RD, Mayfield Hts, OH 44124

Other Identifiers 1

Medicaid019083OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Perfusionist
6780 MAYFIELD RD
MAYFIELD HTS, OH 44124
Physician Assistant
6780 MAYFIELD RD
MAYFIELD HTS, OH 44124
Anesthesiologist Assistant
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Internal Medicine (Cardiovascular Disease)
6780 MAYFIELD RD
CLEVELAND, OH 44124
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Nurse Practitioner (Family)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Physical Therapist
6780 MAYFIELD RD, REHAB DEPARTMENT
MAYFIELD HTS, OH 44124
Nurse Practitioner (Obstetrics & Gynecology)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124

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 Domonique Wong's NPI number?

The NPI number for Domonique Wong is 1497200455. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Domonique Wong located?

Domonique Wong practices at 6780 Mayfield Rd, Mayfield Hts, OH 44124. The listed phone number is (440) 312-4500.

What is Domonique Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Domonique Wong was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.