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

Last updated

Aug 22, 2020By the provider in NPPES

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.NPI 1417992413

Title

President

Phone

(337) 363-5521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Edward Fontenot, MD

  • General Practice Physician
  • Ville Platte, LA
  • NPI 1417992413
  Authorized official Same address or phone

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": [],
    "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.