Individual provider Active NPI

Yolanda Y Fong, MD

  • Family Medicine Physician
  • Midland, MI
National Provider Identifier
1700893195
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
YF058199 Issued in MI
Practice address
4009 Orchard Dr
Midland, MI 48640-6122
Phone
(989) 839-3515
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X YF058199 MI Primary

Addresses

Primary practice location

4009 Orchard Dr
Midland, MI 48640-6122

Mailing address

4009 Orchard Dr
Midland, MI 48640-6122
Phone (989) 839-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20091214000099 MI Practitioner - Family Practice 7517007164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
YF058199MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Jul 1, 2015 Accepting new patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Mymichigan Medical Group PastSince Jul 8, 2013 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

5694 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

3009 N Saginaw Rd
#C
Midland, MI 48640
Phone (989) 633-1350

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

4401 Campus Ridge Dr
Ste 2040
Midland, MI 48640
Phone (989) 839-3805

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4401 N Campus Ridge Dr
Ste C2000
Midland, MI 48640
Phone (989) 837-9150

Interoperability endpoints

  • Direct secure messaging: yfong6263@mymichiganhealth.midirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1700893195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 ORCHARD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406122",
            "telephone_number": "989-839-3515",
            "fax_number": "989-839-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 ORCHARD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406122",
            "telephone_number": "989-839-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "YOLANDA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "YF058199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.