CRISTIN MICHELLE FONG


Address: 3300 Nw Expressway, Oklahoma City, OK 73112-4418
Phone: 4059493011

CRISTIN MICHELLE FONG (NPI# 1760083554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760083554
Entity Type Individual
Full Name CRISTIN MICHELLE FONG
Practice Address 3300 Nw Expressway
Oklahoma City
OK 73112-4418
Mailing Address 1800 Huntington Ave
Nichols Hills
OK 73116-5505
Practice Telephone 4059493011
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
200194 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3300 NW EXPRESSWAY
City OKLAHOMA CITY
State OK
Zip Code 73112-4418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578567848 Gregory W Dinwiddie Physician Assistant 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2005-06-02
1578160487 Jennifer Bauman Nurse Practitioner 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-10-04
1013525062 Siera Alexis Freeman Physical Therapist 3300 Nw Expressway, Oklahoma City, OK 73112 2020-07-15
1447878152 Sabrina Smith Registered Nurse 3300 Nw Expressway, Oklahoma City, OK 73112-4999 2020-07-09
1881219756 Paul Rakowski Emergency Medicine 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-06-16
1902429707 Alex D Dumontier Anesthesiologist Assistant 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-05-27
1417577305 Oklahoma Emergency Physicians LLC Emergency Medicine 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-04-21
1871113761 Oklahoma Hospital Medicine Physicians LLC Internal Medicine 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-04-21
1043839459 Taylor Egbert Student in an Organized Health Care Education/Training Program 3300 Nw Expressway, Oklahoma City, OK 73112-4999 2020-04-15
1225657786 Sherry Goodnight Edon Registered Nurse 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972145886 Crystopher J Long Physical Therapist Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 2019-10-11
1700448974 Joy Healthcare Services of Okc LLC Home Health 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 2019-07-08
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
1679938922 Portland Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 5501 N Porland Ave, Oklahoma City, OK 73112 2015-12-30
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821508037 Bridget Ann Van Treese Nurse Practitioner 2828 Nw 57th St Ste 300, Oklahoma City, OK 73112-7070 2017-10-03
1356862338 Heather Spiegel Nurse Practitioner 3435 Nw 56th St Ste 711, Oklahoma City, OK 73112-4414 2017-06-29
1578160487 Jennifer Bauman Nurse Practitioner 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2020-10-04
1184243396 Mary Katherine Ranchhod Nurse Practitioner 700 Ne 13th St, Oklahoma City, OK 73104-5004 2020-04-09
1255966685 Traci Mcclay Nurse Practitioner 5501 N Portland Ave, Oklahoma City, OK 73112-2074 2020-03-05
1164067484 Barbara Myra Peterson Nurse Practitioner 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2019-11-11
1356902019 Chelsea Mae Bruster Nurse Practitioner 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2019-06-24
1750947321 Courtney Needham Nurse Practitioner 800 Stanton L Young Blvd Ste 9000, Oklahoma City, OK 73104-5018 2019-05-19
1699331371 Kendra Jo Peters Nurse Practitioner 700 Ne 13th St, Oklahoma City, OK 73104-5004 2019-05-17
1740749696 Stephanie L Vanhooser Nurse Practitioner 3433 Nw 56th St Ste 760, Oklahoma City, OK 73112-4461 2019-03-19
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Competitor

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City OKLAHOMA CITY
Zip Code 73112

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Dataset Information

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.

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