MR. EDDIE L FONTENOT (NPI# 1124071295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124071295 |
| Entity Type | Individual |
| Full Name | MR. EDDIE L FONTENOT |
| Credential | CRNA |
| Practice Address |
719 W Coke Rd Winnsboro TX 75494-3011 |
| Mailing Address |
3835 County Road 4560 Winnsboro TX 75494-8056 |
| Practice Telephone | 9037074768 |
| Mailing Telephone | 9037074768 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 736281 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1892952-03 | 05 |
| Street Address |
719 W COKE RD |
| City | WINNSBORO |
| State | TX |
| Zip Code | 75494-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
| 1598300147 | Kim Utley | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-11-07 |
| 1477027142 | Kandice Hand | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-01-16 |
| 1033626643 | Ashley Elizabeth Hammons | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2018-01-04 |
| 1912386467 | Timothy Lyons | Physical Therapist | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2015-05-28 |
| 1326434507 | Dr. Bart Pruitt, Pllc | Clinic/Center | 719 W Coke Rd, Mob 2, Winnsboro, TX 75494-3060 | 2015-04-14 |
| 1700282357 | Rocky Mountain Holdings, LLC | Ambulance | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-11-10 |
| 1750797536 | June E Beamer Md Pllc | Dermatology | 719 W Coke Rd, Bldg 3, Suite 3, Winnsboro, TX 75494-3011 | 2014-07-01 |
| 1134539034 | Roxanne Swafford | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-04-30 |
| 1194151423 | Tina Gayle Hanner | Nurse Practitioner | 719 W Coke Rd, Bldg. 4, Ste 6, Winnsboro, TX 75494-3011 | 2013-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392317 | Cordelia Carrington Lovett | Physical Therapist | Rehab Solutions, 406 S Main Street, Winnsboro, TX 75494 | 2018-07-19 |
| 1679972483 | Whispering Pines Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 910 S Beech Street, Winnsboro, TX 75494 | 2014-08-18 |
| 1023438330 | Trinity Nursing and Rehabilitation of Winnsboro, Lp | Skilled Nursing Facility | 502 East Coke Road, Winnsboro, TX 75494 | 2014-04-25 |
| 1467776831 | Autumn Wind | Assisted Living Facility | 1004 E. Coke Rd, Winnsboro, TX 75494 | 2010-03-15 |
| 1427117357 | Henry Frank Cannaday | Dentist | 505 South Mill Street, Winnsboro, TX 75494 | 2006-12-06 |
| 1952486102 | Jerry D Houchin | Internal Medicine | 877 Sw County Rd 3250, Winnsboro, TX 75494 | 2006-10-26 |
| 1871678425 | Lila G Sparkman | Counselor | 101 North Main St Suite 209, Winnsboro, TX 75494 | 2006-10-25 |
| 1801811534 | Theodore Knox Gregory II | Nurse Anesthetist, Certified Registered | 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
| 1124013644 | Kathy G. Smedley | Counselor | 403 N Post Oak, Winnsboro, TX 75494 | 2005-09-12 |
| 1861493694 | Justin Clive Perish | Chiropractor | 821 South Main Street, Suite 100, Winnsboro, TX 75494 | 2005-08-02 |
| Find all providers in zip 75494 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831587344 | Glenn Eugene Cochrane | Nurse Anesthetist, Certified Registered | 364 Private Road 8581, Winnsboro, TX 75494-8092 | 2015-01-06 |
| 1801811534 | Theodore Knox Gregory II | Nurse Anesthetist, Certified Registered | 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
| 1588674246 | Michael Wayne Phillips | Nurse Anesthetist, Certified Registered | 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-08-08 |
| 1033134747 | Juan Francisco Quintana | Nurse Anesthetist, Certified Registered | 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
| 1558396549 | Sleepy Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
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| 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.