NPIMap

Individual provider Active NPI

Thomas Glenn Fontenot, M.D,

  • Family Medicine Physician
  • Ville Platte, LA
National Provider Identifier
1427199207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018937 Issued in LA
Practice address
417 E. Lincoln Rd
Ville Platte, LA 70586-3431
Phone
(337) 363-7744
Fax
(337) 363-5166
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 018937 LA Primary

Addresses

Primary practice location

417 E. Lincoln Rd
Ville Platte, LA 70586-3431

Mailing address

417 E. Lincoln Rd.
Ville Platte, LA 70586-3431
Phone (337) 363-7744

Other identifiers 1

IdentifierTypeStateIssuer
1368296MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000758 LA Practitioner - Family Practice 9830098482 Reassigns benefits to 2 organizations
Practice locations: Ville Platte, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

Practice addresses (Care Compare)

417 E Lincoln Rd
Suite a Fontenot Family Clinic
Ville Platte, LA 70586-3431
Phone (337) 363-5446

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018937LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ville Platte LLC Current Accepting new patients
CLHG-Ville Platte LLC CurrentSince Feb 6, 2023 Accepting new patients
Mercy Physician Practices LLC Family Medicine CurrentSince Dec 20, 2023 Accepting new patients
CLHG-Ville Platte LLC Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Thomas G. Fontenot, MD Family Medicine Past Accepting new patients
CLHG-Ville Platte LLC Past Accepting new patients
Quality Medical Care and Services, LLC PastSince Apr 30, 2003 Accepting new patients
Community Care Center of Ville Platte LLC Past Accepting new patients

Locations

1221 E Laurel Ave
#H
Eunice, LA 70535
Phone (337) 457-8916

417 E Lincoln Rd
Ste A
Ville Platte, LA 70586
Phone (337) 363-5446

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4664/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/5868/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mrmtfonte@yourcarecommunity.org
  • Direct secure messaging: thomas.fontenot.1@4664.direct.athenahealth.com
  • Direct secure messaging: thomas.fontenot.1@5868.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage Manor of Ville PlatteVille Platte, LA, CCN 195507 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2000
Mar 1, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427199207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E. LINCOLN RD.",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705863431",
            "telephone_number": "337-363-7744",
            "fax_number": "337-363-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E. LINCOLN RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705863431",
            "telephone_number": "337-363-7744",
            "fax_number": "337-363-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "THOMAS",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "018937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368296",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.