Arnold D Fong MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME65011 Issued in FL

Legal business name

ARNOLD D FONG MD PA

Practice address

1102 A1A N
Suite 106
Ponte Vedra, FL 32082-4098

Phone

(904) 280-8228

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Arnold Douglas Fong, M.D.

Title

Physician/President

Phone

(904) 280-8228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1861661787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A1A N",
            "address_2": "SUITE 106",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-280-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A1A N",
            "address_2": "SUITE 106",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-280-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD D FONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "904-280-8228",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.