IndividualActive
Jonathan Wong, DO
NPI 1174935019 · Pediatric Gastroenterology Physician · Madison, WI
Provider details
- NPI number
- 1174935019
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 69057 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5249 E Terrace Dr
Madison, WI 53718-8339
Phone: (608) 263-6420
Fax: (608) 890-7107
Street-level locationGet directions
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.