Active NPI
James Fontenot Jr., M.D.
- Orthopaedic Surgery Physician
- Wichita Falls, TX
National Provider Identifier
1366560179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G7206
- Practice address
- 2002 Ardath Ave
Wichita Falls, TX 76301-6006 - Phone
- (940) 766-0197
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G7206 | TX | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 013130 | LA |
Addresses
Primary practice location
2002 Ardath Ave
Wichita Falls, TX 76301-6006
Mailing address
2002 Ardath Ave
Wichita Falls, TX 76301-6006
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013130 | LA | MD | Orthopaedic Surgery Physician |
| G7206 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1366560179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 ARDATH AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763016006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 ARDATH AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763016006",
"telephone_number": "940-766-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "G7206",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "013130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.