Womans Physician Group

Primary specialty

SpecialistTaxonomy code 174400000X

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

Last updated

Aug 12, 2013By 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

Mrs. Teri Fontenot

Title

President & Ceo

Phone

(225) 924-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 25

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.

• Kaeli Corrine Egler, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1255019824
  Medicare reassignment Care Compare group NPD
• Patricia Anne Kelley, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1366141863
  Medicare reassignment Care Compare group NPD
• Tori Evans Naquin

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1437575180
  Medicare reassignment Care Compare group NPD
• Enrique J R Flechas, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1396801734
  Medicare reassignment Care Compare group
• Katherine Raia Whittaker, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1447645197
  Medicare reassignment Care Compare group
• Brittani McClain Breaux, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Baton Rouge, LA
  • NPI 1093134256
  Medicare reassignment NPD
• Kyleigh M Harrison

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1346827847
  Medicare reassignment NPD
• Andrea Viator Murphy, APRN, FNP-C

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1619484029
  Medicare reassignment NPD
• Thanh Minh Phan, MD

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1124656004
  Medicare reassignment NPD
• Clinton Ross, MD

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1649700527
  Medicare reassignment NPD
• Abigail Marie Shoenfelt, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1467803585
  Medicare reassignment NPD
• Demeka Underwood, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
  • NPI 1821481516
  Medicare reassignment NPD

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": []
}

• Williamson Therapy and Learning Center
• Charlene T Williamson, MA, CCC, SLP
• Geraldine Wilson
• Tommy Wilson
• Benjamin Michael Wilt, PT, DPT, OCS
• Trevor Woods
• Fransiscus Xaverius
• Gretchen Marie Yandle, MD
• Judy Hamilton Yuslum, MSW,LCSW
• Dawn Zitman, M.D.

• Specialist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Specialist in Louisiana

• 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.

Verify at the official NPI Registry.