Active NPI
John Fontana, MD
- Obstetrics & Gynecology Physician
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 075723
- Practice address
- 989 Ribaut Rd Ste 210
Beaufort, SC 29902-5481 - Phone
- (843) 524-8151
- Fax
- (843) 524-1954
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 075723 | SC | Primary |
Addresses
Primary practice location
989 Ribaut Rd Ste 210
Beaufort, SC 29902-5481
Mailing address
106 Capers St
Beaufort, SC 29902-5202
Phone (843) 524-8151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075723/PA0726 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075723 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Gynecology Associates of Beaufort PC | Obstetrics & Gynecology | Past | Accepting new patients |
| The Surgery Center of Beaufort LLC | Past | Accepting new patients |
Locations
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 210
Beaufort, SC 29902
Phone (843) 522-7820
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
1835 N Paris Ave
#108
Port Royal, SC 29935
Phone (843) 812-0483
1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
-
- Obstetrics & Gynecology Physician
- Port Royal, SC
- NPI 1952657223
-
- Ambulatory Surgical Clinic/Center
- Beaufort, SC
- NPI 1588627780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1043228752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CAPERS ST",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025202",
"telephone_number": "843-524-8151",
"fax_number": "843-524-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 RIBAUT RD STE 210",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025481",
"telephone_number": "843-524-8151",
"fax_number": "843-524-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "075723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075723/PA0726",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.