Active NPI
Steven C Fontana, CRNA
- Certified Registered Nurse Anesthetist
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CO1417
- Practice address
- 220 Dunwoody Dr
Jonesboro, AR 72404-8886 - Phone
- (870) 972-0957
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CO1417 | AR | Primary |
Addresses
Primary practice location
220 Dunwoody Dr
Jonesboro, AR 72404-8886
Mailing address
220 Dunwoody Dr
Jonesboro, AR 72404-8886
Phone (870) 972-0957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039039 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Health Northern Louisiana
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-6678
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119
Phone (318) 212-5000
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000
8001 Youree Dr
Shreveport, LA 71115-2302
Phone (318) 212-3000
Hospital & facility affiliations
- Willis Knighton Medical Center
- Christus Shreveport-Bossier Health System
- Christus St Frances Cabrini Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO1417 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jonesboro Anesthesia Inc | Past | Accepting new patients | |
| Med-Trans Corporation | Past | Accepting new patients | |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1477571719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 DUNWOODY DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048886",
"telephone_number": "870-972-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 DUNWOODY DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048886",
"telephone_number": "870-972-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "CO1417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039039",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.