Doctor profile · Federal record
Dr. Tiffany Fontaine, PA-C
Physician Assistant · Oconomowoc, WI
- NPI 1639309057
- 17 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1185 Corporate Center Dr Ste 300
Oconomowoc, WI 530664887
(414) 771-6780
fax (414) 238-2424 - Mailing address
-
10001 W Innovation Dr Ste 200
Wauwatosa, WI 532264851
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- April 6, 2021
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Wisconsin #2443-023
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639309057. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$58
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Optinose US, INC. | 1 | $32.55 | |
| Integra LifeSciences Corporation | 1 | $25.15 |
By nature of payment
Frequently asked questions
What is Dr. Tiffany Fontaine's medical specialty?
Dr. Tiffany Fontaine practices Physician Assistant in Oconomowoc, WI.
Where does Dr. Tiffany Fontaine practice?
Dr. Tiffany Fontaine practices at 1185 Corporate Center Dr Ste 300, Oconomowoc, WI 530664887. Office phone: 4147716780.
What is Dr. Tiffany Fontaine's NPI?
Dr. Tiffany Fontaine's National Provider Identifier (NPI) is 1639309057, issued by NPPES.