John Phil Fontenot, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200868 Issued in LA

Legal business name

JOHN PHIL FONTENOT, LLC

Practice address

1415 7TH St
Suite K
Mamou, LA 70554-2269

Phone

(337) 468-5150

Fax

(337) 468-5155

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John P Fontenot, M.D.NPI 1801822044

Title

Owner

Phone

(337) 468-5150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P. Fontenot, M.D.

  • Internal Medicine Physician
  • Mamou, LA
  • NPI 1801822044
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083724538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 7TH ST",
            "address_2": "SUITE K",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542269",
            "telephone_number": "337-468-5150",
            "fax_number": "337-468-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 7TH ST",
            "address_2": "SUITE K",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542269",
            "telephone_number": "337-468-5150",
            "fax_number": "337-468-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PHIL FONTENOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-468-5150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066125",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg M. Savoy MD a.P.M.C.
• Lori Baker Haller, COTA
• Heaven-on-Earth Network of Mamou, LLC
• Lisa Jack
• JD's Transportation Services LLC
• Katy Jones, NP
• Upendra M Kulkarni, M.D.
• Sara Lafleur, CF-SLF
• Jacob P Launey, CRNA
• Spencer D. Launey, M.D.

• Internal Medicine Physician in Mamou, LA
• Providers in Mamou, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.