Barbara Fong MD PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

15294 Issued in AZ

Legal business name

BARBARA FONG MD PLLC

Practice address

14506 W Granite Valley Dr
Suite 117
Sun City West, AZ 85375-6010

Phone

(623) 544-1521

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Mel Fong, MDNPI 1730157744

Title

Owner

Phone

(623) 544-1521

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara M Fong, MD

  • Anesthesiology Physician
  • Modesto, CA
  • NPI 1730157744
  NPD (past) Authorized official

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1891963195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7118",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467118",
            "telephone_number": "480-899-1711",
            "fax_number": "480-857-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "SUITE 117",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-544-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA FONG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "MEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-544-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "15294",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "15294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280438",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Physician Specialists Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Urgent Care Services, LLC
• Vishant Bansal, M.D.
• Jasminder Bardin, NP
• Sarah Barendt, PT
• Siobhan Barnes
• Barnet Dulaney Perkins Eye Center
• Jordan E Barnett, DPT

• Anesthesiology Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.