Vivien Fongue Fongue (NPI# 1427210889, PAC ID# 2062651334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1427210889 |
| PAC ID by PECOS | 2062651334 |
| Professional Enrollment ID | I20170331001720 |
| Full Name | Vivien Fongue Fongue |
| Organization Legal Name | BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC |
| Address |
6200 Sw 72nd St Suite 602 South Miami FL 33143-4831 |
| Phone Number | 7866620600 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335228899 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100008 | BAPTIST HOSPITAL OF MIAMI |
| 100154 | SOUTH MIAMI HOSPITAL |
| 100296 | DOCTORS HOSPITAL |
| 100314 | WEST KENDALL BAPTIST HOSPITAL |
| 101313 | MARINERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6200 Sw 72nd St, Suite 602, South Miami, FL 33143-4831 | 7866620600 | BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC |
| Organization Legal Name | BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Manuel Rodriguez-leiva | Nurse Practitioner | Baptist Health Medical Group Orthopedics, LLC | 3150 Sw 38th Ave, Suite 600, Coral Gables, FL 33146-1531 |
| Alexander Van Der Ven | Orthopedic Surgery | Baptist Health Medical Group Orthopedics, LLC | 8950 Sw 88 St, Suite 507w, Miami, FL 33176-2127 |
| Charles J Jordan | Orthopedic Surgery | Baptist Health Medical Group Orthopedics, LLC | 15955 Sw 96 St, Suite 401, Miami, FL 33196-1272 |
| John Uribe | Orthopedic Surgery | Baptist Health Medical Group Orthopedics, LLC | 4741 S University Dr, Suite 140, Davie, FL 33328-3819 |
| Ricky K Lo | Physician Assistant | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Lexis M Strobel | Physician Assistant | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Howard Bar-eli | Orthopedic Surgery | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| April Rose Triana | Nurse Practitioner | Baptist Health Medical Group Orthopedics, LLC | 5000 University Dr, Coral Gables, FL 33146-2008 |
| Lissette M Medina | Physician Assistant | Baptist Health Medical Group Orthopedics, LLC | 975 Baptist Way, 202 Miami Orthopedics and Sports Medicine, Homestead, FL 33033-7600 |
| Brian D Goldmark | Physician Assistant | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Street Address |
6200 SW 72ND ST SUITE 602 |
| City | SOUTH MIAMI |
| State | FL |
| Zip | 33143-4831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suleyki Medina | Geriatric Medicine | Baptist Health Medical Group Oncology LLC | 6200 Sw 72nd St, Suite 303, South Miami, FL 33143-4829 |
| Jerrold Young | General Surgery | 6200 Sw 72nd St, Suite 501, South Miami, FL 33143-4830 | |
| Michael E Gomez | Neurosurgery | Consultants In Neurological Surgery LLP | 6200 Sw 72nd St, 403 Michael E Gomez Md Drs Traina and Ibars, South Miami, FL 33143-4829 |
| Geetha M Nampiaparampil | Psychiatry | Baptist Health Medical Group Oncology LLC | 6200 Sw 72nd St, Suite 303, South Miami, FL 33143-4829 |
| Jose Alejandro Pazos-perez | Physician Assistant | Baptist Health Medical Group Physicians LLC | 6200 Sw 72nd St, Suite 502, South Miami, FL 33143-4830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Guerra-valencia | Psychiatry | Advanced Multispecialty Medical Services LLC | 7031 Sw62nd Ave, Suite 4, South Miami, FL 33143 |
| Thomas R Maurno | Chiropractic | 5901 Sw74th St, Suite 209, South Miami, FL 33143 | |
| Orlando A Puente | General Surgery | 7400 Sw 62nd Ave, Miami, FL 33143 | |
| Carey Green | Cardiovascular Disease (cardiology) | 7000 Sw62nd Ave, Suite 520, South Miami, FL 33143 | |
| Xiomara Sampedro | General Practice | Advanced Multispecialty Medical Services LLC | 7031 Sw62nd Ave, Suite 4, South Miami, FL 33143 |
| Argelia D Galvez | Internal Medicine | 6240 Sw 85th Ave, Miami, FL 33143-1540 | |
| Erik Antony Cabrera | Psychiatry | Advanced Multispecialty Medical Services LLC | 6140 Sw70th St, Suite 2, South Miami, FL 33143-3419 |
| Alberto J Sabucedo | Internal Medicine | 6140 Sw 70th St, Fl 2, South Miami, FL 33143-3419 | |
| Carlos J Dominguez | Hematology/oncology | 6140 Sw 70 St, 200 Larkin Multispecialty Clinic, South Miami, FL 33143-3419 | |
| Christine R Marambio | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6110 Sw 70th St, South Florida Surgery Center, Miami, FL 33143-3419 |
| Find all physicians in zip 33143 | |||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SOUTH MIAMI + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Vivien Fongue Fongue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.