DR. VIVIEN S FONGUE FONGUE (NPI# 1427210889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427210889 |
| Entity Type | Individual |
| Full Name | DR. VIVIEN S FONGUE FONGUE |
| Credential | D.O |
| Practice Address |
6200 Sw 72nd St Suite 602 South Miami FL 33143-4828 |
| Mailing Address |
Po Box 100905 Atlanta GA 30384-0905 |
| Practice Telephone | 7866620600 |
| Practice Fax Number | 7865339419 |
| Mailing Telephone | 7866620600 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 272692 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03850373 | 05 |
| Street Address |
6200 SW 72ND ST SUITE 602 |
| City | SOUTH MIAMI |
| State | FL |
| Zip Code | 33143-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225095227 | Robert Paul Derhagopian | Surgery | 6200 Sw 72nd St, Suite 130, South Miami, FL 33143-4828 | 2006-04-26 |
| 1649662784 | Carlos Uceta | Specialist/Technologist | 6200 Sw 72nd St, 601, South Miami, FL 33143-4828 | 2015-02-26 |
| 1427327212 | Jessica Lee Ordonez | Genetic Counselor, MS | 6200 Sw 72nd St, Suite 302, South Miami, FL 33143-4828 | 2011-12-22 |
| 1225249592 | Sankarabharan Kanikireddy | Internal Medicine | 6200 Sw 72nd St, Box # 69, South Miami, FL 33143-4828 | 2007-05-25 |
| 1033216767 | Hernia Institute of Florida Inc | Surgery | 6200 Sw 72nd St, Suite 501, South Miami, FL 33143-4828 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
| Find all providers in zip 33143 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427507052 | Andres Henao | Orthopaedic Surgery | 6200 Sw 72nd St Ste 602, South Miami, FL 33143-4831 | 2016-09-23 |
| 1033578190 | Menar Wahood | Orthopaedic Surgery | 7031 Sw 62nd Ave, 401, South Miami, FL 33143-4701 | 2016-02-17 |
| 1871952036 | Hyrum Judd | Orthopaedic Surgery | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2016-02-16 |
| 1427286723 | Lauren E Crocco | Orthopaedic Surgery | 6200 Sw 73rd St, Suite 602, South Miami, FL 33143-4679 | 2009-06-24 |
| 1144306820 | Jorge M Cabrera | Orthopaedic Surgery | 6341 Sunset Dr, First Floor, South Miami, FL 33143-4842 | 2006-10-27 |
| 1699870634 | Daniel G Kalbac | Orthopaedic Surgery | 6701 Sunset Dr, Suite 201, South Miami, FL 33143-4529 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
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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.