NPIMap

Organization Active NPI

Fontenot Healthcare Inc.

  • Internal Medicine Physician
  • Ville Platte, LA
National Provider Identifier
1790713444
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025984 Issued in LA
Legal business name
FONTENOT HEALTHCARE INC.
Practice address
421 Jack Miller Rd
Ville Platte, LA 70586-5613
Phone
(337) 363-4499
Fax
(337) 363-4990
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. James Brandon FontenotNPI 1770524332
Title
Owner
Phone
(337) 363-4499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 025984 LA Primary

Addresses

Primary practice location

421 Jack Miller Rd
Ville Platte, LA 70586-5613

Mailing address

421 Jack Miller Rd
Ville Platte, LA 70586-5613
Phone (337) 363-4499

Other identifiers 1

IdentifierTypeStateIssuer
1049484MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060714000232 LA Part B Supplier - Clinic/Group Practice 1557376449 Receives reassigned benefits from 2 practitioners
Practice locations: Ville Platte, LA

National Provider Directory

National Provider Directory
Tax ID family
Fontenot Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1790713444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 JACK MILLER RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865613",
            "telephone_number": "337-363-4499",
            "fax_number": "337-363-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 JACK MILLER RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865613",
            "telephone_number": "337-363-4499",
            "fax_number": "337-363-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTENOT HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-363-4499",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049484",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.