Eric Fontenot,MD, Internal Medicine Group,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201186 Issued in LA

Legal business name

ERIC FONTENOT,MD, INTERNAL MEDICINE GROUP,LLC

Practice address

1219 Coolidge Blvd
Lafayette, LA 70503-2620

Phone

(337) 233-4980

Fax

(337) 232-5159

NPI assigned

Oct 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Eric Paul Fontenot, M.D.NPI 1437228657

Title

Physician

Phone

(337) 233-4980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eric Fontenot MD2 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.

• Eric Fontenot MD Internal Medicine Group L.L.C.

  • Specialist
  • Mamou, LA
  • NPI 1821135088
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ba8bce9c-529e-4c80-844b-1ca88f89a8bf/

Practitioners 1

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

• Eric Paul Fontenot, MD

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1437228657
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1982032280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-233-4980",
            "fax_number": "337-232-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-233-4980",
            "fax_number": "337-232-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC FONTENOT,MD, INTERNAL MEDICINE GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-233-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin a. Fontenot D.D.S., L.L.C.
• Dennis Joseph Eschete Jr., M.D.
• Elena Escoyne
• Ashley Eskind, PT

• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.