NPIMap

Organization Active NPI

Eugene M Fontenot MD LLC

  • Obstetrics & Gynecology Physician
  • Lake Charles, LA
National Provider Identifier
1154977197
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
EUGENE M FONTENOT MD LLC
Practice address
4150 Nelson Rd
Building a Suite 1
Lake Charles, LA 70605
Phone
(337) 474-2056
Fax
(337) 477-9334
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Eugene Fontenot, MD
Title
Owner
Phone
(337) 474-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4150 Nelson Rd
Building a Suite 1
Lake Charles, LA 70605

Mailing address

4150 Nelson Rd Ste A1
Lake Charles, LA 70605-4169
Phone (337) 474-2056

National Provider Directory

National Provider Directory

Locations

4150 Nelson Rd
Ste A1
Lake Charles, LA 70605
Phone (337) 474-2056

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1154977197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE A1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-474-2056",
            "fax_number": "337-477-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BUILDING A SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-474-2056",
            "fax_number": "337-477-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE M FONTENOT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-474-2056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.