SUSAN LEE FONG (NPI# 1417391582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417391582 |
Entity Type | Individual |
Full Name | SUSAN LEE FONG |
Other Name | SUSAN SOJUNG LEE |
Credential | M.D., PH.D. |
Practice Address |
3333 Burnet Ave Cincinnati OH 45229-3026 |
Practice Telephone | 5136364200 |
Mailing Telephone | 5136364200 |
Enumeration Date | 2013-04-19 |
Last Update Date | 2019-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
35.136097 | OH | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053687582 | Susan T Fong | Pharmacist | 1345 Montebello Blvd, Montebello, CA 90640-2585 | 2012-03-29 |
1487761235 | Susan Kim Fong | Obstetrics & Gynecology | 170 William St Fl 1, New York, NY 10038-2612 | 2006-08-25 |
1740712942 | Susan K Fong | Pharmacist | 350 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-28 |
1588807390 | Susan A Fong | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2009-04-08 |
Street Address |
3333 BURNET AVE |
City | CINCINNATI |
State | OH |
Zip Code | 45229-3026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394019 | Christine E Fuller | Pathology | 3333 Burnet Ave, Ml 1035, Cincinnati, OH 45229-3026 | 2005-05-23 |
1578170288 | Allison Rae Adams | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-26 |
1356957898 | Erika Michelle Chiodi | Counselor | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-21 |
1275149189 | Sara Catherine Hook | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-17 |
1518573419 | David Scott Winlaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-17 |
1700490752 | Sharmila R Ballal | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-06 |
1427668912 | Elizabeth Ditch | Optometrist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-08-09 |
1225648181 | Christina Mary Anna Doukas | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-08-05 |
1881203297 | Samantha Strain | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-07-31 |
1528677176 | Kelly Ann Sitterle | Nurse Practitioner | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-07-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
Find all providers in zip 45229 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881777662 | Tina Mathias Narayan | Psychiatry & Neurology | 7495 State Rd Suite 355, Outpatient Services Anderson Ml 6003, Cincinnati, OH 45255 | 2006-10-23 |
1205869013 | Marielle Kabbouche Samaha | Psychiatry & Neurology | 3333 Burnet Ave Ml 2015, Cincinnati, OH 45229-3026 | 2006-07-08 |
1457748394 | David Ritter | Psychiatry & Neurology | 3333 Burnet Avenue, Ml 2015, Cincinnati, OH 45229-3039 | 2015-04-17 |
1629411418 | Rochelle Marie Witt | Psychiatry & Neurology | 3333 Burnet Ave # Mlc7041, Cincinnati, OH 45229-3026 | 2013-04-10 |
1730457789 | Gewalin Aungaroon | Psychiatry & Neurology | 3333 Burnet Avenue, Ml 2015, Cincinnati, OH 45229-3026 | 2011-12-06 |
1144546300 | Marissa Vawter-lee | Psychiatry & Neurology | 3333 Burnet Ave, Ml 2015, Cincinnati, OH 45229-3039 | 2010-04-13 |
1760611099 | Joanne Kacperski | Psychiatry & Neurology | 3333 Burnet Ave, Mlc 2015, Cincinnati, OH 45229-3026 | 2009-07-08 |
1932355120 | Eileen M Broomall | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2008-08-07 |
1225298086 | John Michael Taylor | Psychiatry & Neurology | 3333 Burnet Ave, Division of Neurology, Ml 2015, Cincinnati, OH 45229-3026 | 2008-06-14 |
1164605275 | Hansel Matthias Greiner | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2007-12-12 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45229 |
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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.