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Deactivated NPI 1538159314 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen A Mong , MD

Urology • Waterloo, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Mong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2005
NPI Deactivation Date December 27, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Mong, MD was a registered Urology practicing in Waterloo, IA. Throughout an active medical career spanning 18 years, Dr. Mong provided care at the practice location at 3410 KIMBALL AVE until profile deactivation on 2023-12-27.

Practice Location & Contact Primary Location

Practice Address

3410 Kimball Ave

Waterloo, IA 507025735

Telephone 3192342649
Fax 3192332430
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Waterloo, IA (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IA 28664

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1124018999

Doctor of Medicine (M.D.)

NPI 1467497909

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 27, 2023

Record deactivated on December 27, 2023

NPI Profile Active January 03, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2013

Registered at 3410 KIMBALL AVE, WATERLOO, IA 507025735 (Tel: 3192342649)

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Updated Business Mailing Address January 03, 2013

Registered at 3410 KIMBALL AVE, WATERLOO, IA 507025735 (Tel: 3192342649)

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Provider Name / Credentials Updated January 03, 2013

Recorded as STEPHEN MONG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2013

Urology (License #28664 in IA)

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Initial NPI Registration & Enumeration October 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538159314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2005
Last Update: January 03, 2013
Deactivation Date: December 27, 2023

Mailing Address

3410 Kimball Ave

Waterloo, IA 507025735

Phone: 3192342649

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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