Antonio Herlander Fontelonga

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

100667 Issued in NV

Practice address

75 Pringle Way Ste 706
Reno, NV 89502-1472

Phone

(775) 784-5975

Fax

(775) 784-3722

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/Oncology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon Grado MD IncGroup PAC ID 3971581166, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gordon Grado, M.D., Inc

  • Radiation Oncology Physician
  • Scottsdale, AZ
  • NPI 1952481152
  Medicare reassignment Care Compare group
• Parker Hughes Clinics

  • Specialist
  • Roseville, MN
  • NPI 1871637488
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1437164100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 706",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021472",
            "telephone_number": "775-784-5975",
            "fax_number": "775-784-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 706",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021472",
            "telephone_number": "775-784-5975",
            "fax_number": "775-784-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTELONGA",
        "first_name": "ANTONIO",
        "middle_name": "HERLANDER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "100667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Foltz
• Bruce Kirin Fong, DO
• Alma Fonseca, RN
• Joanne Fontana, LCSW
• Georgina Noemi Fontein, M.A. LMFT
• Mervyns Janapin Fontillas
• Hugh Fonzo, RN
• Erica L Foote, RD
• Jolie Foote
• Matthew Foran

• Hematology & Oncology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Hematology & Oncology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.