DR. CHRISTINE-MARIE L. FONG (NPI# 1235235359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235235359 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE-MARIE L. FONG |
| Credential | M.D. |
| Practice Address |
1111 6th Ave Des Moines IA 50314-2613 |
| Mailing Address |
Po Box 27035 West Des Moines IA 50265-9415 |
| Practice Telephone | 5153584000 |
| Mailing Telephone | 5153331879 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
38472-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32401800 | 05 |
| Street Address |
1111 6TH AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785004 | Keven Odell Cutler | Emergency Medicine | 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 | 2005-07-28 |
| 1508470014 | Tammie Jordan | Pharmacist | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-09-02 |
| 1942812243 | Samantha Marie Ulsh | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-08-18 |
| 1962020677 | Jordyn Hauser | Dietitian, Registered | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-07-09 |
| 1659996528 | Doh Joon Park | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-16 |
| 1508481623 | Maianh T Tran | Surgery | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-15 |
| 1083239081 | Max E Reiche | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-15 |
| 1760007488 | Obidike P Nwadike | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-09 |
| 1154945970 | Jason C Wang | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-08 |
| 1588288435 | Elliot M Deblieck | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932447034 | Robert D. Shaw | Pediatrics | 13921 Lake Shore Dr, Des Moines, IA 50325-8643 | 2013-01-24 |
| 1376943175 | Ranjani Ananth | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2014-08-28 |
| 1154529022 | Kristin Alanna Rice | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2007-07-03 |
| 1740344357 | Gary A Yuille | Pediatrics | 1200 Pleasant St, Neonatology, Des Moines, IA 50309-1406 | 2006-12-20 |
| 1588617328 | Danny Ellsbury | Pediatrics | 1111 6th Ave, Des Moines, IA 50314-2613 | 2006-05-19 |
| 1073563334 | Cary Robert Murphy | Pediatrics | 1111 6th Ave, Des Moines, IA 50314-2613 | 2006-05-10 |
| 1245289909 | Patrick Francis Reinsvold | Pediatrics | 1111 6th Ave, Des Moines, IA 50314-2613 | 2006-05-09 |
| 1780641886 | Lori Ann Katz | Pediatrics | 1111 6th Ave, 4th Floor Nicu, Des Moines, IA 50314-2613 | 2006-05-01 |
| 1730144312 | Vipin B Bhasvar | Pediatrics | 1111 6th Ave, Des Moines, IA 50314-2613 | 2006-04-18 |
| 1013971175 | Theresa Marie Wahlig | Pediatrics | 1111 6th Ave, Des Moines, IA 50314-2613 | 2006-04-14 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on DR. CHRISTINE-MARIE L. FONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.