Marcus Fontenot

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

HC 67 Box 5
Canadian, OK 74425-9700

Phone

(918) 339-5800

NPI assigned

Jan 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Narconon of Oklahoma, Inc.

  • Substance Abuse Rehabilitation Facility
  • Canadian, OK
  • NPI 1730339771
  NPD (past)
• Narconon of Oklahoma, Inc.

  • Substance Abuse Rehabilitation Facility
  • McAlester, OK
  • NPI 1790057057
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1114222015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 5",
            "city": "CANADIAN",
            "state": "OK",
            "postal_code": "744259700",
            "telephone_number": "918-339-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 5",
            "city": "CANADIAN",
            "state": "OK",
            "postal_code": "744259700",
            "telephone_number": "918-339-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "MARCUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Eli Butler, LPC
• Canadian Public School
• Kimberly Irene Cooper
• Christy Coplen
• Vicki Mae Flucard Smith, LADC, CBHCM
• Rebecca Fontenot
• Talin Guiragosian-Schotters
• Derry Hallmark
• Mandy Jerome
• Larry Jones

• Community Health Worker in Canadian, OK
• Providers in Canadian, OK by specialty
• Community Health Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.