Active NPI
Herbert Jerrel Fontenot, M.D.
- Anesthesiology Physician
- West Monroe, LA
National Provider Identifier
1285741777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 018863
- Practice address
- 1275 Glenwood Dr
West Monroe, LA 71291-5539 - Phone
- (318) 322-1339
- NPI assigned
- Aug 23, 2006
- Last updated
- Mar 6, 2012
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 018863 | LA | Primary |
Addresses
Primary practice location
1275 Glenwood Dr
West Monroe, LA 71291-5539
Mailing address
PO Box 678308
Dallas, TX 75267-8308
Phone (800) 897-6169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018863 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin City Anesthesia | Past | Accepting new patients |
Interoperability endpoints
- herbert.fontenot.p1@direct.southernpain.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1285741777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678308",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678308",
"telephone_number": "800-897-6169",
"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": {
"last_name": "FONTENOT",
"first_name": "HERBERT",
"middle_name": "JERREL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "018863",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.