Active NPI
Womans Physician Group
- Specialist
- Gonzales, LA
National Provider Identifier
1730512906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WOMANS PHYSICIAN GROUP
- Practice address
- 2306 S Burnside Ave
Suite B
Gonzales, LA 70737-4668 - Phone
- (225) 450-2951
- Fax
- (225) 450-6354
- NPI assigned
- Aug 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teri Fontenot
- Title
- President & Ceo
- Phone
- (225) 924-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2306 S Burnside Ave
Suite B
Gonzales, LA 70737-4668
Mailing address
2306 S Burnside Ave
Suite B
Gonzales, LA 70737-4668
Phone (225) 450-2951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140127000496 | LA | Part B Supplier - Clinic/Group Practice | 5496984296 |
Receives reassigned benefits from 19 practitioners Practice locations: Baton Rouge, LA |
National Provider Directory
National Provider DirectoryLocations
9229 Bluebonnet Blvd
#A
Baton Rouge, LA 70810
Phone (225) 924-8584
500 Rue de la Vie St
Ste 411
Baton Rouge, LA 70817
Phone (225) 751-4488
9637 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 924-8313
2306 S Burnside Ave
Ste B
Gonzales, LA 70737
Phone (225) 450-2951
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Baton Rouge, LA
- NPI 1366141863
LA
-
- Endocrinology, Diabetes & Metabolism Physician
- Baton Rouge, LA
- NPI 1093134256
LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376265600000",
"number": "1730512906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 S BURNSIDE AVE",
"address_2": "SUITE B",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374668",
"telephone_number": "225-450-2951",
"fax_number": "225-450-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 S BURNSIDE AVE",
"address_2": "SUITE B",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374668",
"telephone_number": "225-450-2951",
"fax_number": "225-450-6354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMANS PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A",
"authorized_official_last_name": "FONTENOT",
"authorized_official_first_name": "TERI",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "225-924-1300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.