DR. WALTER C. FONG (NPI# 1285623033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285623033 |
| Entity Type | Individual |
| Full Name | DR. WALTER C. FONG |
| Credential | M.D. |
| Practice Address |
10416 5th Ave Ne Seattle WA 98125-7402 |
| Practice Telephone | 2065176700 |
| Mailing Telephone | 2065176700 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00025056 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8305351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629140918 | Walter Fong | Chiropractor | 10101 Slater Avenue, Ste #113, Fountain Valley, CA 92708-4742 | 2006-11-14 |
| Street Address |
10416 5TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915071 | Margaret Clowry | Internal Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2005-10-13 |
| 1932634359 | Madolyn Krengel | Internal Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2017-04-23 |
| 1407253479 | Norman Landry | Physical Therapist | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2014-11-19 |
| 1467899963 | Priyanka Naik | Family Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2013-05-24 |
| 1184981771 | Maxor National Pharmacy Services LLC | Pharmacy | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2012-04-19 |
| 1457623597 | Laboratory Corporation of America | Clinical Medical Laboratory | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2012-02-06 |
| 1962646182 | Jennifer Supowit | Physical Therapist | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2009-05-01 |
| 1245495472 | Dynacare Northwest Inc | Clinical Medical Laboratory | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2008-07-28 |
| 1215111976 | Robin S Graham | Licensed Practical Nurse | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2007-12-18 |
| 1639366354 | Michael L Giese | Optometrist | 10416 5th Ave Ne, Seattle, WA 98125 | 2007-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| 1558928531 | Donn J Colby | Internal Medicine | 318 17th Ave E, Seattle, WA 98112-5107 | 2019-05-24 |
| 1922585736 | Summit Consulting for Post Acute Care LLC | Internal Medicine | 1170 Alki Ave Sw Apt 301, Seattle, WA 98116-4828 | 2018-07-24 |
| 1619401668 | Chipo Natasha Kwendakwema | Internal Medicine | 1959 Ne Pacific St Rm Bb527, Box 356421, Seattle, WA 98195-6421 | 2017-04-17 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1851831838 | Allofor Inc. | Internal Medicine | 5608 17th Ave Nw Ste 537, Seattle, WA 98107-5232 | 2017-02-24 |
| 1558817791 | Frankenfeld Home Visits Mht LLC | Internal Medicine | 4816 Aurora Avenue N, Seattle, WA 98103 | 2016-08-28 |
| 1093268542 | Hansen Mht LLC | Internal Medicine | 4816 Aurora Ave N, Seattle, WA 98103-6518 | 2016-08-02 |
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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.