Damon Fortenberry, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN073334 Issued in LA

Practice address

433 Plaza St
Bogalusa, LA 70427-3729

Phone

(985) 730-6700

Fax

(985) 730-6713

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Anesthesia Care STPH LLC 65 clinicians

Our Lady of the Angels Hospital Inc 78 clinicians

Childrens Hospital Anesthesia Corporation 281 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
• Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 35)

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.

• Childrens Hospital Anesthesia Corporation

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1649362740

  LA

  Medicare reassignment Care Compare group NPD
• Our Lady of the Angels Hospital, Inc.

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1912334533

  LA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Total Anesthesia Care STPH, LLC

  • Anesthesiology Physician
  • Covington, LA
  • NPI 1669475190

  LA

  Medicare reassignment Care Compare group NPD
• Aec Physicians, LLC

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
  • NPI 1346574217

  LA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Galleria Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Metairie, LA
  • NPI 1962966796

  LA

  Medicare reassignment NPD
• Gastroenterology Anesthesia LLC

  • Specialist
  • Hammond, LA
  • NPI 1699089581

  LA

  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  LA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458

  LA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Our Lady of the Angels Hospital, Inc.

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1093140600
  Care Compare group
• Our Lady of the Angels Hospital, Inc.

  • Psychiatric Hospital Unit
  • Bogalusa, LA
  • NPI 1649607268
  Care Compare group
• Northlake Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • Hammond, LA
  • NPI 1942202221
  NPD
• Summit Anesthesia, Inc.

  • Anesthesiology Physician
  • Mandeville, LA
  • NPI 1225227556
  NPD

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

• Our Lady of the Angels Hospital, Inc.

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1093140600

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1790788214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6700",
            "fax_number": "985-730-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "DAMON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN073334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107042",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfortenberry64194@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dfortenberry64194@direct.casso.us.com",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roscoe Floyd Foil Jr.
• Mary F Foreman
• Gerald L Foret Jr., M.D.
• Charlette Fornea, LPC, NBCC
• Thomas R Fornea, CPP
• James Casey Fos, JD, LL.M
• Fphsa Washington Addictive Disorders Clinic
• Ira Butler Fuller III III, MD
• Clint William Gallo, DPT
• Krupa Gandhi, M.D.

• All providers in Bogalusa, LA
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.

Verify at the official NPI Registry.