GINA MARIE FONG (NPI# 1346583689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346583689 |
Entity Type | Individual |
Full Name | GINA MARIE FONG |
Other Name | GINA MARIE MITTELSTAEDT |
Credential | MD |
Practice Address |
1600 Rockland Rd Wilmington DE 19803 |
Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
Practice Telephone | 3026514200 |
Practice Fax Number | 3026514945 |
Mailing Telephone | 3026514200 |
Mailing Fax Number | 3026514945 |
Enumeration Date | 2013-04-05 |
Last Update Date | 2019-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
C1-0011860 | DE | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
4745 Ogletown Stanton Rd # Map1, Suite 217, Newark, DE 197132067 | 3027332168 | 3027332602 |
Street Address |
1600 ROCKLAND RD |
City | WILMINGTON |
State | DE |
Zip Code | 19803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306844345 | Lee Pachter | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2005-07-13 |
1871194852 | Joanna Smith | Psychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-11-05 |
1508465766 | Claudia Van Lenten | Social Worker | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
1043819170 | Erica Reighard | Nurse Practitioner | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
1962018325 | Madison Rausch | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-09-21 |
1558979088 | Aniela Grzezulkowska | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-07-21 |
1427674951 | Molly Anne Haislip | Registered Nurse | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-06-20 |
1295358471 | Molly Beitman | Dietitian, Registered | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-22 |
1861015158 | Emily Clouser | Speech-Language Pathologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-21 |
1396367454 | Andrea Schelhaas | Genetic Counselor, MS | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
Find all providers in zip 19803 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518202969 | Ronald Paul Gregoire | Pediatrics | 207 Cabbage Inlet Ln, Wilmington, NC 28409-3004 | 2012-12-11 |
1902210180 | Brian Barnette | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2014-06-16 |
1114206737 | Aaron Jefthy T. Yee | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2011-08-13 |
1144462631 | Coastal Carolina Neonatology, Pllc | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2009-03-30 |
1184866659 | Deepthi Alapati | Pediatrics | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2009-03-30 |
1003058561 | Joanna Costa | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2009-03-30 |
1245433275 | Julia D. Ryan | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-06-07 |
1184761223 | Carol Brumbalow Andersen | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-01-30 |
1265533871 | Mohamed H Sharaf | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2006-09-26 |
1477654598 | Mark T. Ogino | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-09-25 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 19803 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.