DR. MATTHEW SHANE FONTENOT (NPI# 1013985530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013985530 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SHANE FONTENOT |
| Credential | M.D. |
| Practice Address |
1214 Coolidge Blvd Lafayette LA 70503-2621 |
| Mailing Address |
Po Box 53092 Lafayette LA 70505-3092 |
| Practice Telephone | 3372897927 |
| Practice Fax Number | 3372897935 |
| Mailing Telephone | 3372898978 |
| Mailing Fax Number | 3372898970 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
024987 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1214 COOLIDGE BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536799 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2005-05-30 |
| 1518577030 | Lafayette General Medical Center Inc | Clinic/Center | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-08-10 |
| 1487278016 | Morgan Jade Angelle | Physician Assistant | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-05-29 |
| 1710508296 | Decolia Ronic Rogers | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-05-06 |
| 1912545120 | Steven Minervini | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-12-18 |
| 1942848395 | Selleck Leblanc | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-12-17 |
| 1316581325 | Laken Tujague | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-11-01 |
| 1205499605 | Jacob Michael O'quin | Physician Assistant | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-04-21 |
| 1679039606 | Jacqueline White | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-02-14 |
| 1568927978 | Linsey Mae Zaroban | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1104014349 | Louisiana Kidney Update, LLC | Internal Medicine | 4811 Ambassador Caffery Pkwy Fl 4, Lafayette, LA 70508-7265 | 2007-10-12 |
| 1821216144 | Ladebe LLC | Internal Medicine | 804 Richland Ave, Lafayette, LA 70508-6661 | 2007-04-23 |
| 1821034778 | Alfonso Lebron-berges | Internal Medicine | 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2006-06-21 |
| 1992747349 | Acadiana Renal Physicians Amc | Internal Medicine | 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 | 2006-06-11 |
| 1447228184 | Akram Al-makki | Internal Medicine | 915 Mezzanine Dr, Suite A, Lafayette, IN 47905-8637 | 2006-03-09 |
| 1093706582 | Steven W Kraft | Internal Medicine | 2655 Crescent Dr, Suite C, Lafayette, CO 80026-3372 | 2005-11-02 |
| 1386635878 | Richard K Halterman | Internal Medicine | 2655 Cresenct Drive, Suite C, Lafayette, CO 80026-3376 | 2005-11-02 |
| 1275524761 | Karen M Lochhead | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2005-11-02 |
| 1275194193 | Total Health Clinic LLC | Internal Medicine | 610 Guilbeau Rd, Lafayette, LA 70506-8707 | 2019-06-21 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. MATTHEW SHANE FONTENOT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.