Individual provider Active NPI

Thomas J Fontenot, CRNA

  • Certified Registered Nurse Anesthetist
  • Carencro, LA
National Provider Identifier
1902913726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN065361 Issued in LA
Practice address
202 Rue Bordeaux
Carencro, LA 70520-4328
Phone
(337) 298-5937
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN065361 LA Primary

Addresses

Primary practice location

202 Rue Bordeaux
Carencro, LA 70520-4328

Mailing address

202 Rue Bordeaux
Carencro, LA 70520-4328
Phone (337) 298-5937

Other identifiers 1

IdentifierTypeStateIssuer
1654574MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000599 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628021623 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology and Pain Consultants LLCGroup PAC ID 3870490402, 48 clinicians
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians
Eunice Anesthesiology Group LLCGroup PAC ID 2365430758, 14 clinicians

Practice addresses (Care Compare)

1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5784
Phone (337) 988-5646

2309 E Main St
Suite 300
New Iberia, LA 70560-4046
Phone (337) 560-9622

3501 Hwy 190
Eunice, LA 70535-5129
Phone (337) 468-2767

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
018937LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2023 Accepting new patients
Anesthesiology & Pain Consultants, LLC CurrentSince Apr 10, 2017 Accepting new patients
Sanford Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc PastSince Jul 1, 1995 Accepting new patients
Professional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Doctors Anesthesia Past Accepting new patients

Locations

3448 Highway 190
Eunice, LA 70535
Phone (337) 546-6237

4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119

120 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 233-6665

1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041

314 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 330-2051

4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119

1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902913726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 RUE BORDEAUX",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204328",
            "telephone_number": "337-298-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 RUE BORDEAUX",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204328",
            "telephone_number": "337-298-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN065361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1654574",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.