DARRYL FONTAINE (NPI# 1023000429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023000429 |
| Entity Type | Individual |
| Full Name | DARRYL FONTAINE |
| Credential | MD |
| Practice Address |
4105 Fort Henry Drive Suite 207 Kingsport TN 37663 |
| Mailing Address |
1 Fontaine Ct Kingsport TN 37660 |
| Practice Telephone | 4232395833 |
| Practice Fax Number | 4232399789 |
| Mailing Telephone | 4233924981 |
| Mailing Fax Number | 4232455032 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 20124 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHP TENNCARE | 100011235 | 01 | |
| TN | 3051034 | 05 | |
| NC | 890576L | 05 | |
| BLUE SHIELD OF TN | 3046989 | 01 | |
| VA | 5747040 | 05 | |
| JOHN DEERE | TN0100 | 01 | |
| KY | 64911142 | 05 | |
| NHC CARE ADMINISTRATORS | 00013859 | 01 | |
| WV | 0221312000 | 05 | |
| ANTHEM BCBS | 063263 | 01 |
| Street Address |
4105 FORT HENRY DRIVE SUITE 207 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1619003399 | Colonial Heights Pharmacy, Inc. | Pharmacy | 4221 Ft. Henry Drive, Kingsport, TN 37663 | 2007-02-26 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| 1649518309 | Blue Ridge Medical Managgement Corporation | Clinic/Center | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-01-30 |
| Find all providers in zip 37663 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812187 | B Jeffrey Sanders | Anesthesiology | 135 W. Ravine Road, Suite 5-b, Kingsport, TN 37660-3847 | 2005-12-21 |
| 1447251269 | James E Masters | Anesthesiology | 4105 Fort Henry Dr, Suite 207, Kingsport, TN 37663-2240 | 2005-08-02 |
| 1649279811 | Mark E Carver | Anesthesiology | 135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660-3847 | 2005-07-19 |
| 1982054573 | Joshua Kane Ragan | Anesthesiology | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2016-06-15 |
| 1063773810 | Thomas Garland Magruder V | Anesthesiology | 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 | 2012-06-07 |
| 1871889576 | Elizabeth Jane Michael | Anesthesiology | 135 W Ravine Rd, Ste 5-b, Kingsport, TN 37660-3847 | 2011-06-22 |
| 1104125707 | Ryan Wesley Gordon | Anesthesiology | 135 W Ravine Rd Ste 5-b, Kingsport, TN 37660-3847 | 2011-03-22 |
| 1619119054 | Helen Heeyoung Wilson | Anesthesiology | 2000 Brookside Dr, Kingsport, TN 37660 | 2009-03-31 |
| 1487796900 | Helen Onedera Wright | Anesthesiology | 2000 Brookside Dr, Kingsport, TN 37660 | 2007-02-12 |
| 1235160888 | Scott E Maynard | Anesthesiology | 135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660-3847 | 2006-07-05 |
| Find all providers in KINGSPORT | ||||
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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.