JONATHAN E FOUNTAIN MD (NPI# 1255404620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255404620 |
| Entity Type | Organization |
| Organization Name | JONATHAN E FOUNTAIN MD |
| Practice Address |
5976 Berryhill Rd Milton FL 32570 |
| Practice Telephone | 8506260400 |
| Practice Fax Number | 8506260204 |
| Mailing Telephone | 8506260400 |
| Mailing Fax Number | 8506260204 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JONATHAN E FOUNTAIN (SOLE OWNER PRACTITIONER) |
| Authorized Official Telephone | 8506260400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50330 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | 50330 | 01 |
| FL | DEA # | BF0107246 | 01 |
| Street Address |
5976 BERRYHILL RD |
| City | MILTON |
| State | FL |
| Zip Code | 32570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518127703 | Center for Total Womens Health Pa | Obstetrics & Gynecology | 5976 Berryhill Rd, Milton, FL 32570-4009 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| 1184679821 | James Mark Watson | Radiology | 6002 Berry Hill Rd, Milton, FL 32570 | 2006-05-23 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344106 | Megan Pearl Malgeri | Family Medicine | 28 Centre Dr., Uvm Medical Center - Milton Family Medicine, Milton, VT 05468-3104 | 2012-03-28 |
| 1992098412 | Paul Kendall Pulchny | Family Medicine | 630 Mulberry St, Milton, DE 19968-1516 | 2011-05-17 |
| 1710297957 | Harry David Perkins | Family Medicine | 12489 Danesfeld Dr, Milton, GA 30004-6694 | 2010-10-20 |
| 1568790848 | Sidharth Sharma | Family Medicine | 980 Birmingham Rd Ste 304, Milton, GA 30004-4418 | 2009-11-25 |
| 1730323387 | Mehul Danawala | Family Medicine | 155 S Arch St Ste B, Milton, PA 17847-1172 | 2009-04-27 |
| 1780742072 | James Keith Festa | Family Medicine | 1687 Route 9w, Milton, NY 12547-5433 | 2006-12-05 |
| 1265508774 | Anita Tabor Dawson | Family Medicine | 1798 Midland Tr, Us Rt 60e, Milton, WV 25541-9507 | 2006-11-27 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1265545255 | Abby Marissa Hunt | Family Medicine | 3874 Highway 90 Ste 201, Milton, FL 32571-1014 | 2006-08-16 |
| 1184737751 | Shoreview Medical, Pa | Family Medicine | 28312 Lewes-georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-08-16 |
| Find all providers in MILTON | ||||
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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.