DR. JONATHAN W FONTENOT (NPI# 1275500811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275500811 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN W FONTENOT |
| Credential | MD |
| Practice Address |
323 E Hawkins Pkwy Ste A Longview TX 75605-8162 |
| Practice Telephone | 9037582746 |
| Practice Fax Number | 9037587127 |
| Mailing Telephone | 9037582746 |
| Mailing Fax Number | 9037587127 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | K9533 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
K9533 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 141243905 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1806 E End Blvd N, Marshall, TX 756700728 | 9037582746 | 9037587127 |
| Street Address |
323 E HAWKINS PKWY STE A |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-8162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417948084 | Stephen G Littlejohn | Orthopaedic Surgery | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905 | 2005-11-02 |
| 1386266484 | Ronald Short II | Physical Therapist | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | 2020-05-12 |
| 1881100808 | Mackenzie Cole | Physician Assistant | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | 2017-12-28 |
| 1356710230 | Breann Mcilhenny Hart | Nurse Practitioner | 323 E Hawkins Pkwy Ste A, Longview, TX 75605 | 2015-09-21 |
| 1891190344 | Tameka Royal | Nurse Practitioner | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905 | 2014-10-27 |
| 1407297039 | Joshua A Russell | Orthopaedic Surgery | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | 2013-07-11 |
| 1093154189 | Britton Scott Plemmons | Podiatrist | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | 2013-06-21 |
| 1124292263 | Charles Grooters | Orthopaedic Surgery | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905 | 2008-04-19 |
| 1932235660 | Babajide A. Ogunseinde | Orthopaedic Surgery | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905 | 2007-02-26 |
| 1598811986 | Matthew Charles Porter | Family Medicine | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437589181 | Charles Larson | Orthopaedic Surgery | 2431 Park Hill Dr, Longview, WA 98632-5785 | 2013-11-16 |
| 1316990088 | Anthony J Lauder | Orthopaedic Surgery | 625 9th Ave Ste 210, Longview, WA 98632-2465 | 2006-05-17 |
| 1003865072 | Longview Orthopedic Associates, Pllc | Orthopaedic Surgery | 625 - 9th Ave., Ste. 210, Longview, WA 98632-2465 | 2006-05-08 |
| 1417948084 | Stephen G Littlejohn | Orthopaedic Surgery | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905 | 2005-11-02 |
| 1427049089 | Kenneth E Reesor | Orthopaedic Surgery | 709 Hollybrook Dr Ste 3401, Longview, TX 75605-2412 | 2005-11-02 |
| 1467069013 | Ortholonestar, Pllc | Orthopaedic Surgery | 925 W Loop 281, Longview, TX 75604-2918 | 2020-09-28 |
| 1124292263 | Charles Grooters | Orthopaedic Surgery | 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905 | 2008-04-19 |
| 1184808677 | Jay M Stanley | Orthopaedic Surgery | 700 E Marshall Ave, Longview, TX 75601-5580 | 2007-12-20 |
| 1043414741 | Tony C Lin | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2464 | 2007-06-14 |
| 1225169279 | Peter Kung | Orthopaedic Surgery | 625 9th Ave Ste 210, Longview, WA 98632-2465 | 2007-03-08 |
| Find all providers in LONGVIEW | ||||
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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.