Michael Todd Fontenot, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0088212 Issued in FL

Practice address

8595 Picardy Ave
Ste 305
Baton Rouge, LA 70809-3670

Phone

(225) 763-4438

Fax

(225) 763-4490

NPI assigned

Jul 19, 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 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baton Rouge General Medical Center

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724

  LA

  Medicare reassignment NPD
• Baton Rouge General Medical Center

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844
  NPD
• Baton Rouge General Medical Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984
  NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1982603254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE",
            "address_2": "STE 305",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093670",
            "telephone_number": "225-763-4438",
            "fax_number": "225-763-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0088212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162900",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4Q548DH48",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fontenot, APRN, CNM
• Greta M Fontenot
• Jerry Joseph Fontenot
• Kathleen Fontenot, BCBA
• Lashawn Fontenot, PHYSICAL THERAPIST
• Randy Fontenot, LPC
• Savanna Nichole Fontenot
• Tina Fontenot, MSW
• Victoria Fontenot, DO
• Food Physicians

• All providers in Baton Rouge, LA
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.