EUGENE M FONTENOT MD LLC (NPI# 1154977197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154977197 |
| Entity Type | Organization |
| Organization Name | EUGENE M FONTENOT MD LLC |
| Practice Address |
4150 Nelson Rd Building A Suite 1 Lake Charles LA 70605 |
| Mailing Address |
4150 Nelson Rd Ste A1 Lake Charles LA 70605-4169 |
| Practice Telephone | 3374742056 |
| Practice Fax Number | 3374779334 |
| Mailing Telephone | 3374742056 |
| Mailing Fax Number | 3374779334 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | EUGENE FONTENOT (OWNER) |
| Authorized Official Telephone | 3374742056 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
4150 NELSON RD BUILDING A SUITE 1 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538993 | Eugene Fontenot | Obstetrics & Gynecology | 4150 Nelson Rd, Lake Charles, LA 70605-4148 | 2005-06-17 |
| 1760006803 | Nicholas Fulco | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2020-06-04 |
| 1124583828 | Ashley Elizabeth Bellow | Nurse Practitioner | 4150 Nelson Rd, Suite E4, Lake Charles, LA 70605-4133 | 2019-02-06 |
| 1477093045 | Ashley Chaumont Hoffpauir | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2017-03-02 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1215322946 | Blakelee Ann Moore | Physical Therapist | 4150 Nelson Rd, Suite C12, Lake Charles, LA 70605-4148 | 2015-03-31 |
| 1578966768 | Kelly Calloway | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2014-10-01 |
| 1205239753 | Anesthesia Associates | General Acute Care Hospital | 4150 Nelson Rd, A4, Lake Charles, LA 70605-4148 | 2014-09-29 |
| 1356742043 | Qua'lynn S. Jenkins | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 4, Lake Charles, LA 70605-4148 | 2014-09-12 |
| 1558602235 | Imperial Health LLP | Internal Medicine | 4150 Nelson Rd, Building G Suite 3, Lake Charles, LA 70605-4148 | 2013-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995482 | Howard Stelly LLC | Obstetrics & Gynecology | 1920 W Sale Rd Ste 6, Lake Charles, LA 70605-2400 | 2019-11-02 |
| 1265090179 | Lexus Louvier Martin | Obstetrics & Gynecology | 4150 Nelson Rd Bldg E, Lake Charles, LA 70605-4148 | 2019-06-05 |
| 1831491067 | Lcms Matthew G Scroggs, Md, LLC | Obstetrics & Gynecology | 1890 W Gauthier Rd Ste 140, Lake Charles, LA 70605-7179 | 2010-11-19 |
| 1730417924 | Kathy E. Walker | Obstetrics & Gynecology | 916 Kirby St, Lake Charles, LA 70601-5440 | 2009-11-26 |
| 1548467236 | Lake Charles Medical Services, Inc | Obstetrics & Gynecology | 1890 W Gauthier Rd Ste 130, Lake Charles, LA 70605-7179 | 2007-06-27 |
| 1912019696 | Gladys Ann Miller | Obstetrics & Gynecology | 4150 Nelson Road, Building E Suite 3, Lake Charles, LA 70605-4116 | 2006-08-31 |
| 1134162753 | Alice B Prestia | Obstetrics & Gynecology | 4150 Nelson Rd Building B Suite 3, Lake Charles, LA 70605-4148 | 2006-06-13 |
| 1043253669 | Ob-gyn Associates, L.L.C. | Obstetrics & Gynecology | 4150 Nelson Road, Bldg. A, Ste. 2, Lake Charles, LA 70605 | 2006-06-13 |
| 1871573030 | Rachel Chua | Obstetrics & Gynecology | 4150 Nelson Rd Ste 9, Lake Charles, LA 70605-4148 | 2006-01-21 |
| 1295727550 | John Liebert Colligan | Obstetrics & Gynecology | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2005-08-22 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.