DAVID J FONTAINE (NPI# 1124050984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124050984 |
| Entity Type | Individual |
| Full Name | DAVID J FONTAINE |
| Credential | DO |
| Practice Address |
909 N Kentucky Ave West Plains MO 65775-2024 |
| Practice Telephone | 4172576782 |
| Practice Fax Number | 4172575876 |
| Mailing Telephone | 4172576782 |
| Mailing Fax Number | 4172575876 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS003310L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018712800001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215915 | David Fontaine | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-10-08 |
| 1538586060 | David Fontaine | Pharmacist | 4271 Tamiami Trl S, Venice, FL 34293-5131 | 2014-03-21 |
| 1861523409 | David Fontaine | Pediatrics | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2007-03-07 |
| 1346205184 | David W Fontaine | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| 1932199650 | David A Fontaine | Physician Assistant | 701 Ostrum St, Suite 603, Fountain Hill, PA 18015-1155 | 2005-10-25 |
| Street Address |
909 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770836694 | Margaret Elisabeth Deshane | Nurse Practitioner | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2012-10-16 |
| 1679879704 | Burton Creek Rural Clinic, LLC | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2011-02-08 |
| 1699934364 | Josh Heselton | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2008-06-06 |
| 1497950430 | Jan M Johnson | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-06-19 |
| 1518162981 | Luann Mckee | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-06-18 |
| 1518169481 | Omc Youth Tcm | Community/Behavioral Health | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-06-04 |
| 1659573541 | William Dugan | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-06-03 |
| 1821290719 | Kathleen Geery | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-06-03 |
| 1801942917 | Edith Sewell | Psychologist | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-01-25 |
| 1528147972 | Thomas N Thomas | Psychiatry & Neurology | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417186339 | Richard Charles Lucas | Psychiatry & Neurology | #23 Parkway Center, 1211 Porter Wagoner Blvd, Ozarks Medical Center Behavioral Health, West Plains, MO 65775-1826 | 2009-07-13 |
| 1003821802 | Paul Jay Loop | Psychiatry & Neurology | 1211 Missouri Ave, West Plains, MO 65775-2105 | 2006-07-30 |
| 1558611129 | Aniefiok Agarin | Psychiatry & Neurology | 1211 Porter Wagoner Blvd, #23, Parkway, West Plains, MO 65775 | 2012-09-11 |
| 1003109745 | Thomas John Knutson | Psychiatry & Neurology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2011-05-26 |
| 1255539540 | Jesse Charles Rhoads | Psychiatry & Neurology | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2007-07-07 |
| 1528147972 | Thomas N Thomas | Psychiatry & Neurology | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142368 | Julie Lafferty Md, LLC | Psychiatry & Neurology | 655 Craig Rd Ste 336, Creve Coeur, MO 63141-7171 | 2020-04-08 |
| 1831738574 | Gina Rivera Sokolich | Psychiatry & Neurology | 930 Kehrs Mill Rd Ste 325-13, Ballwin, MO 63011-2403 | 2019-12-28 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1790277374 | Taiye Oluyomi Popoola | Psychiatry & Neurology | 1 Hospital Dr # 67.00, Columbia, MO 65212-1000 | 2018-05-31 |
| 1548709603 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 19203 Hazel Dell Rd, Higginsville, MO 64037-9162 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on DAVID J FONTAINE.
| 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.