Reed A Fontenot Jr., MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

010029 Issued in LA

Practice address

2016 Oak Park Blvd
Lake Charles, LA 70601-7828

Phone

(337) 477-8861

Fax

(337) 477-3092

NPI assigned

Dec 30, 2005

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• John W Melton MD & Reed a Fontenot Jr MD Apmc

  • Urology Physician
  • Lake Charles, LA
  • NPI 1457453722
  Authorized official Same address or phone

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1417934373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017828",
            "telephone_number": "337-477-8861",
            "fax_number": "337-477-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017828",
            "telephone_number": "337-477-8861",
            "fax_number": "337-477-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "REED",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "010029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110744",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05242",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Lejeune Fontenot, RN
• Joyce J Fontenot, CPMSM, CPCS
• Katherine J. Fontenot, O.D.
• Martha Lynn Fontenot, LAC
• Mary Necoloa Fontenot
• Senia Timothy Fontenot, ANP-C
• Skyler Fontenot
• Stacy Nicole Fontenot, MS, CF-SLP
• Sydney Morales Fontenot, PMHNP-BC
• Ted Etell Fontenot, ANP

• Urology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.