Active NPI
Jason Fontenot, M.D.
- Anesthesiology Physician
- Malone, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 292013
- Practice address
- 133 Park St
Malone, NY 12953-1244 - Phone
- (518) 483-3000
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 021093 | LA | |
| Anesthesiology Physician | 207L00000X | 292013 | NY | Primary |
Addresses
Primary practice location
133 Park St
Malone, NY 12953-1244
Mailing address
PO Box 459
Opelousas, LA 70571-0459
Phone (337) 943-7128
Other practice location 1
539 E Prudhomme St
Opelousas, LA 70570-6499
Phone (337) 943-7128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952117 | Medicaid | LA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in Shreveport, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 W Hwy 30
Gonzales, LA 70737-5004
Phone (225) 765-6565
2701 Lake Villa Dr
Metairie, LA 70002-6701
Phone (504) 832-2115
694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021093 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Anesthesia Consultants | Anesthesiology | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| Youngs Professional Services LLC | Current | Accepting new patients | |
| Osc Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| Hospital Service District No 1 of Iberia Parish | Current | Accepting new patients | |
| Christus Surgery Center Villages LLC | Current | Accepting new patients | |
| Lake Charles Anesthesiology, Apmc | Anesthesiology | Current | Accepting new patients |
| Hospital Service District No. 1 of Iberia Parish | Current | Accepting new patients | |
| Doctors Anesthesia | Anesthesiology | Past | Accepting new patients |
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Interventional Pain Specialists, LLC | Past | Accepting new patients |
Locations
200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300
1757 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 310-2832
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
2701 Lake Villa Dr
Metairie, LA 70002
Phone (504) 274-3100
1207 N Causeway Blvd
Metairie, LA 70001
Phone (504) 832-2115
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441
3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512
187 Ventre Blvd
Opelousas, LA 70570
Phone (337) 407-0050
385 Bert Kouns Loop
Ste 300
Shreveport, LA 71106
Phone (318) 212-0552
Interoperability endpoints
- jfontenot5264644@direct.casso.us.com
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Kenner, LA
- NPI 1639816374
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
-
- General Acute Care Hospital
- New Iberia, LA
- NPI 1780690180
-
- Emergency Medicine Physician
- Cut Off, LA
- NPI 1831260793
-
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1588674790
-
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1063862340
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
-
- Ambulatory Surgical Clinic/Center
- Shreveport, LA
- NPI 1598390015
-
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
- Medicare Defined Swing Bed Hospital Unit
- Cut Off, LA
- NPI 1043358120
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
-
- Anesthesiology Physician
- Opelousas, LA
- NPI 1710980065
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1982607255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705710459",
"telephone_number": "337-943-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531244",
"telephone_number": "518-483-3000"
}
],
"practiceLocations": [
{
"address_1": "539 E Prudhomme St",
"address_purpose": "LOCATION",
"city": "Opelousas",
"state": "LA",
"postal_code": "705706499",
"country_code": "US",
"telephone_number": "337-943-7128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONTENOT",
"first_name": "JASON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "021093",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "292013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952117",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.
- 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.