Danielle Marie Fontaine, MD
Individual provider Active NPI Surgery Physician · Connelly Springs, NC
NPI 1962865220 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1962865220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2019-00201 (NC)
- Practice address
- 730 Malcolm Blvd
Connelly Springs, NC 28612-8079 - Phone
- (828) 580-3572
- NPI assigned
- Apr 3, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Northeastern Ohio University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Healthcare Medical Group Inc
Practice addresses (Care Compare)
730 Malcolm Blvd
Suite 100
Connelly Springs, NC 28612-8079
Phone (828) 580-7962
Hospital & facility affiliations
- Blue Ridge Healthcare Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213000008 | NC | Practitioner - General Surgery | 0345533493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Past |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Surgery | Past |
Accepting new patients |
Locations
2209 S Sterling St
Ste 530
Morganton, NC 28655
Phone (828) 580-4230
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2022031705 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 2019-00201 | NC | Yes |
Addresses
Primary practice location
730 Malcolm Blvd
Connelly Springs, NC 28612-8079
Mailing address
5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491
Phone (984) 974-2705
Other practice location 1
10012 Kennerly Rd Ste 406
Saint Louis, MO 63128-2197
Phone (314) 525-1224
Other providers in Connelly Springs, NC
- Carolina Burke Operator LLC
- College Pines Rehabilitation and Skilled Nursing Center, LLC
- Cox Family Medicine
- Alex Thomas Craig
- Find a Way Counseling Services, PLLC
- Amanda Ford
- Joseph Eric Franklin
- Nicole Lauren Gaines
- Gaston Family Health Services, Inc
- Gaston Family Health Services, Inc
All providers in Connelly Springs, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.