TIFFANY THERESE FONTE (NPI# 1255779443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255779443 |
| Entity Type | Individual |
| Full Name | TIFFANY THERESE FONTE |
| Credential | D.O. |
| Practice Address |
108 E Lake Mead Pkwy Ste 302 Henderson NV 89015 |
| Mailing Address |
4275 Burnham Ave Ste 220 Las Vegas NV 89119-5400 |
| Practice Telephone | 7029121714 |
| Practice Fax Number | 7027342650 |
| Mailing Telephone | 7029121714 |
| Mailing Fax Number | 7027342650 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | SL0957 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DO2567 | NV | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
PG177527 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Nw Samaritan Dr, Corvallis, OR 973303737 | 5417684906 | |
| 4275 Burnham Ave Ste 220, Las Vegas, NV 891195400 | 7029121714 | 7027342650 |
| Street Address |
108 E LAKE MEAD PKWY STE 302 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164909396 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 2839 St. Rose Pkwy., Ste. 160, Henderson, NV 89052-4849 | 2018-07-20 |
| 1255823571 | Ram K Singh Md Ltd | Internal Medicine | 10410 S Eastern Ave Ste 210, Henderson, NV 89052-4195 | 2018-06-01 |
| 1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
| 1285837997 | Alfonso Li Tiu | Internal Medicine | 3032 Palatine Terrace Dr, Henderson, NV 89052-3000 | 2007-06-08 |
| 1518056464 | Anjum Ismail | Internal Medicine | 2641 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-4830 | 2006-10-11 |
| 1053411165 | Sydney Glen Short | Internal Medicine | 568 Ruin Creek Rd Ste 128, Henderson, NC 27536-5921 | 2006-09-25 |
| 1366540973 | Sanjay Vohra | Internal Medicine | 8965 S Pecos Rd, Suite 12a, Henderson, NV 89074 | 2006-09-20 |
| 1205864865 | Joshua G Leichman | Internal Medicine | 2865 Siena Heights Dr Ste 331, Henderson, NV 89052-4171 | 2006-06-30 |
| 1205882339 | Chandrasekhar R. Narala | Internal Medicine | 2847 St Rose Pkwy, Ste 100, Henderson, NV 89052 | 2006-05-26 |
| 1699726240 | Sunil Kalla | Internal Medicine | 2779 W Horizon Ridge Pkwy, Suite #240, Henderson, NV 89052-4184 | 2006-05-16 |
| Find all providers in HENDERSON | ||||
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| 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.