Robert J. Fonda, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROBERT J. FONDA, M.D., P.C.

Practice address

8601 W. Dodge Rd.
Suite 118
Omaha, NE 68114-3457

Phone

(402) 391-5050

Fax

(402) 391-3017

NPI assigned

Jul 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert J. Fonda, MD

Title

President

Phone

(402) 391-5050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1508064833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 W. DODGE RD.",
            "address_2": "SUITE 118",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143457",
            "telephone_number": "402-391-5050",
            "fax_number": "402-391-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W. DODGE RD.",
            "address_2": "SUITE 118",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143457",
            "telephone_number": "402-391-5050",
            "fax_number": "402-391-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. FONDA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "FONDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-391-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.