Charles E. Fontenot, M.D., a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD010529 Issued in LA

Legal business name

CHARLES E. FONTENOT, M.D., A MEDICAL CORPORATION

Practice address

1535 W Main St
Ville Platte, LA 70586-2867

Phone

(337) 363-5521

Fax

(337) 363-9134

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward Fontenot, M.D.

Title

President

Phone

(337) 363-5521

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407964349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860510",
            "telephone_number": "337-363-5521",
            "fax_number": "337-363-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862867",
            "telephone_number": "337-363-5521",
            "fax_number": "337-363-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. FONTENOT, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-363-5521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD010529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4376284200",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101923",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Family 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.