ANDREW R FONG (NPI# 1982759064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982759064 |
| Entity Type | Individual |
| Full Name | ANDREW R FONG |
| Credential | MD |
| Practice Address |
75-184 Hualalai Rd Kailua Kona HI 96740-1719 |
| Practice Telephone | 8083344400 |
| Mailing Telephone | 8083344400 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD-10156 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 088197-01 | 05 | |
| HI | HMSA BILLING NUMBER | 0000215194 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487754214 | Andrew B. Fong | Dentist | 4000 S Bascom Ave, Suite 8, San Jose, CA 95124-2663 | 2006-09-22 |
| 1679928394 | Andrew Fong | Student in an Organized Health Care Education/Training Program | 1200 N State St, Clinic Tower Suite A7d, Los Angeles, CA 90033-1029 | 2016-05-02 |
| 1316047160 | Andrew C. O. Fong | Ophthalmology | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2006-09-22 |
| 1740253376 | Andrew Eliot Fong | Radiology | 1272 Garrison Dr, Murfreesboro, TN 37129-2598 | 2006-02-13 |
| Street Address |
75-184 HUALALAI RD |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609815018 | Helen Claire Tweedley | Physical Therapist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2006-06-05 |
| 1629692256 | Mikayla Quinn Wilson | Physical Therapist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2020-05-29 |
| 1215349527 | Rosemarie Yongvanich | Pharmacist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2014-05-21 |
| 1477964104 | Jacob Pobre | Physical Therapist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2014-05-15 |
| 1710178868 | Vicki Lynn Hutchison Niederkorn | Physical Therapist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-08-05 |
| 1679628754 | Robin L. Seto | Internal Medicine | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-01-25 |
| 1194871269 | Roma J L Johnson | Audiologist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-01-25 |
| 1275688251 | William Mumbert | Pharmacist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-01-23 |
| 1609921527 | Carolyn Uyeda | Pharmacist | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-01-23 |
| 1548314164 | Joanne C Lombardi | Internal Medicine | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1548435787 | Wesley Jitsuo Sugai | Pediatrics | 78-6831 Alii Dr Ste 328, Kailua Kona, HI 96740-4408 | 2008-04-29 |
| 1699831818 | Rama Thilagam Thiruvengadam | Pediatrics | 76-6331 Kololia St, Kailua Kona, HI 96740-2262 | 2006-12-29 |
| 1194884528 | Lingie Chiu | Pediatrics | 75-5995 Kuakini Hwy Ste 213, Kailua Kona, HI 96740-2120 | 2006-12-08 |
| 1326000233 | Peter Joseph Locatelli | Pediatrics | 77-6447 Kuakini Hwy, Kailua Kona, HI 96740-2227 | 2006-04-05 |
| 1457325664 | Virginia Burford Hatch-pigott | Pediatrics | 76-6225 Kuakini Hwy Ste C101, Kailua Kona, HI 96740-3212 | 2006-02-14 |
| 1114127859 | Alii Community Care, Inc | Pediatrics | 75-5995 Kuakini Hwy Ste 213, Kailua Kona, HI 96740-2120 | 2007-07-20 |
| 1346321890 | Robert E. Meyer Jr. | Pediatrics | 75-184 Hualalai Rd, Kailua Kona, HI 96740-1719 | 2006-10-18 |
| 1801851837 | Robert H Laird | Pediatrics | 76-6225 Kuakini Hwy, Ste C-101, Kailua Kona, HI 96740-3212 | 2006-04-20 |
| 1538124979 | Marta L Derieg | Pediatrics | 76-6225 Kuakini Hwy, Ste C101, Kailua Kona, HI 96740-3212 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959050 | We Prescribe Inc | Pediatrics | 1110 Nuuanu Ave Ste A1-298, Honolulu, HI 96817-5119 | 2020-07-20 |
| 1598382772 | Barbora Kadecka | Pediatrics | 1319 Punahou Street #741, Pediatric Residency Program, Honolulu, HI 96826 | 2020-07-02 |
| 1720605504 | Keanuenue Pediatrics, LLC | Pediatrics | 3465 Waialae Ave Ste 270, Honolulu, HI 96816-2686 | 2020-06-29 |
| 1497315584 | Larry Jay Shapiro | Pediatrics | 604 N Kalaheo Ave, Kailua, HI 96734-1907 | 2019-06-19 |
| 1013571546 | Jenny Liu | Pediatrics | 1319 Punahou St Ste 741, Honolulu, HI 96826-1001 | 2019-04-30 |
| 1295219095 | Hawaii Coalition for Health | Pediatrics | 302 California Ave Ste 209, Wahiawa, HI 96786-1841 | 2018-09-18 |
| 1992232037 | Harold Nilsson, M.d., LLC | Pediatrics | 1441 Kapiolani Blvd Ste 825, Honolulu, HI 96814-4457 | 2017-05-19 |
| 1508216524 | Irene Papaconstadopoulos | Pediatrics | 141 Hekuawa St, Haiku, HI 96708-7009 | 2016-06-21 |
| 1780056093 | Kona Pediatrics, Inc | Pediatrics | 95-1017 Melekomo St, Mililani, HI 96789-6004 | 2015-10-26 |
| 1629497102 | Sean Findlay | Pediatrics | Bldg 680, Wheeler Army Air Field, HI 96854 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on ANDREW R FONG.
| 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.