NPIMap

Organization Active NPI

Fontenot & McIntosh, LLC

  • Anesthesiology Physician
  • West Monroe, LA
National Provider Identifier
1023062718
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FONTENOT & MCINTOSH, LLC
Practice address
1275 Glenwood Dr
West Monroe, LA 71291-5539
Phone
(318) 322-1339
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
H Jerrel Fontenot, M.D., PHD.
Title
President
Phone
(318) 322-1339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

1275 Glenwood Dr
West Monroe, LA 71291-5539

Mailing address

PO Box 2850
Ruston, LA 71273-2850
Phone (800) 903-4859

Other identifiers 2

IdentifierTypeStateIssuer
DB1967OtherRR MEDICARE
1446157MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1023062718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732850",
            "telephone_number": "800-903-4859",
            "fax_number": "601-936-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915539",
            "telephone_number": "318-322-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTENOT & MCINTOSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "JERREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-322-1339",
        "authorized_official_credential": "M.D., PHD."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB1967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446157",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.