Practitioner Profile

Printer Friendly Version

NEPENTHE IRWIN FONG

License Number: ME111065

Profession
Medical Doctor
License Status
Retired/
Year Began Practicing
06/01/2000
License Expiration Date
01/31/2024

Primary Practice Address
NEPENTHE IRWIN FONG
2825 Oak Lawn Avenue
Unit 192749
DALLAS, TX 75219
Medicaid

This practitioner does NOT participate in the Medicaid program.

Staff Privileges

This practitioner currently holds staff privileges at the following hospital/medical/health institutions:

Institution Name City State
Advocate Good Samaritan Hospital Downers Grove ILLINOIS
Advocate Sherman Hospital Elgin ILLINOIS
Aiken Regional Medical Centers Aiken SOUTH CAROLINA
Piedmont Athens Regional Medical Center Athens GEORGIA
Piedmont Cartersville Medical Center Cartersville GEORGIA
Northwestern Medicine Huntley, McHenry, & Woodstock Hospital Huntley ILLINOIS
Northwestern Medicine Central DuPage Hospital Winfield ILLINOIS
Piedmont Henry Hospital Stockbridge GEORGIA
Northwestern Medicine Delnor Hospital Geneva ILLINOIS
Doctors Hospital of Augusta Augusta GEORGIA
Duke Raleigh Hospital Raleigh NORTH CAROLINA
Duke Regional Hospital Durham NORTH CAROLINA
Piedmont Eastside Medical Center Snellville GEORGIA
Edward Hospital - Main Campus Naperville ILLINOIS
Elkhart General Hospital Elkhart INDIANA
Elmhurst Hospital Elmhurst ILLINOIS
Firsthealth Montgomery Memorial Hospital Troy NORTH CAROLINA
Firsthealth Moore Regional Hospital Pinehurst NORTH CAROLINA
Frederick Memorial Hospital Frederick MARYLAND
Franciscan Beacon Hospital La Porte INDIANA
Fulton County Medical Center McConnellsburg PENNSYLVANIA
AdventHealth Gordon Calhoun GEORGIA
Frankfort Regional Medical Center Frankfort KENTUCKY
Granville Medical Center Oxford NORTH CAROLINA
Hendricks Regional Health Danville Hospital Danville ILLINOIS
HSHS Holy Family Hospital Greenville ILLINOIS
St. Margaret's Health - Peru Peru ILLINOIS
Piedmont Atlanta Hospital Atlanta GEORGIA
Northwest Health - LaPorte La Porte INDIANA
Johnston Health Smithfield NORTH CAROLINA
Northwestern Medicine Kishwaukee & Valley West Hospitals Warrenville ILLINOIS
Lexington Medical Center West Columbia SOUTH CAROLINA
Marshall Medical Center South Boaz ALABAMA
Memorial Hospital of South Bend South Bend INDIANA
Mercy Fitzgerald Hospital Darby PENNSYLVANIA
Kauai Veterans Memorial Hospital Waimea HAWAII
Meritus Medical Center Hagerstown MARYLAND
AdventHealth Murray Chatsworth GEORGIA
Nash General Hospital Rocky Mount NORTH CAROLINA
Johnson Memorial Hospital Stafford Springs CONNECTICUT
Piedmont Fayette Hospital Fayetteville GEORGIA
Piedmont Mountainside Hospital Jasper GEORGIA
Piedmont Newnan Hospital Newnan GEORGIA
Piedmont Newton Hospital Covington GEORGIA
AMITA Health Mercy Medical Center Aurora ILLINOIS
Putnam County Hospital Greencastle INDIANA
Rush Copley Medical Center Aurora ILLINOIS
St. Francis Hospital and Medical Center Hartford CONNECTICUT
Johns Hopkins Howard County General Hospital Columbia MARYLAND
HSHS St. Joseph's Hospital - Highland Highland ILLINOIS
St. Margaret's Health - Spring Valley Spring Valley ILLINOIS
SSM Health Good Samaritan Hospital - Mt Vernon Mount Vernon ILLINOIS
SSM Health St. Mary's Hospital - Centralia Centralia ILLINOIS
Sampson Regional Medical Center Clinton NORTH CAROLINA
Johns Hopkins Sibley Memorial Hospital Washington DISTRICT OF COLUMBIA
MUSC Health Lancaster Medical Center Lancaster SOUTH CAROLINA
Stanford Health System - ValleyCare - Pleasanton Pleasanton CALIFORNIA
Johns Hopkins Suburban Hospital Bethesda MARYLAND
Tidelands Georgetown & Waccamaw Hospitals Georgetown SOUTH CAROLINA
University Hospital Augusta GEORGIA
University McDuffie Thomson GEORGIA
Wentworth-Douglass Hospital Dover NEW HAMPSHIRE
Williamsburg Regional Hospital Kingstree SOUTH CAROLINA
Wake Forest Baptist Health - Wilkes Medical Center North Wilkesboro NORTH CAROLINA
AMITA Health St. Alexius Medical Center Hoffman Estates ILLINOIS
CHRISTUS Good Shepherd Medical Center - Longview Longview TEXAS
Community Hospital of Bremen Bremen INDIANA
Stanford Health Care Main Campus Stanford CALIFORNIA
Doylestown Hospital Doylestown PENNSYLVANIA
UK Healthcare Albert B. Chandler Hospital Lexington KENTUCKY
Piedmont Rockdale Conyers GEORGIA
Piedmont Walton Hospital Monroe GEORGIA
Northwest Health - Starke Knox INDIANA
Email Address

Please contact at: nepenthe.fong@visionradiology.com

Other State Licenses

This practitioner has indicated the following additional state licensure:

State Profession
California MEDICAL
Georgia MEDICAL
Illinois MEDICAL
Indiana MEDICAL
Maryland MEDICAL
North Carolina MEDICAL
Ohio MEDICAL
Pennsylvania MEDICAL
South Carolina MEDICAL
Michigan MEDICAL
Alabama MEDICAL DOCTOR
Delaware MEDICAL DOCTOR
Washington MEDICAL DOCTOR
District of Columbia Medical
Missouri Medical
Kentucky Medical
New Hampshire Medical
Nevada Medical
Connecticut Medical
Hawaii Medical
Texas Medical
Wisconsin Medical
Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.

This practitioner has not indicated whether he/she has submitted payment of the assessment.

Specialty Certification

This practitioner holds the following certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed:

Specialty Board Certification Date Certified
AMERICAN BOARD OF RADIOLOGY DR - DIAGNOSTIC RADIOLOGY 06/08/2005

Financial Responsibility

I do not have hospital staff privileges and I have obtained and maintain professional liability coverage in an amount not less than $100,000 per claim, with a minimum annual aggregate of not less than $300,000 from an authorized insurer as defined under s. 624.09, F. S., from a surplus lines insurer as defined under s. 626.914(2).

ARNP Protocol Documents

Section 464.012(3), Florida Statutes was amended in the 2017 Legislative Session requiring that an established protocol be maintained at certain locations.

This section removed the requirement that the Board of Nursing reviews or maintains protocols at the department. Instead, established protocols must be maintained on site at the location(s) at which an advanced registered nurse practitioner practices, as well as any updates to protocols.


In the case of multiple supervising physicians in the same group, an advanced registered nurse practitioner must enter into a supervisory protocol with at least one physician within the physician group practice.

Content provided on the ARNP Protocols tab will no longer be updated, as of June 23, 2017. Here is a link to the law change: https://www.flsenate.gov/Session/Bill/2017/543/BillText/er/PDF , see pages 6-7.


If you have further questions, please contact the Florida Board of Nursing at (850) 245-4125. The Board's website address for additional information is: floridasnursing.gov