DR. DOMINIQUE CAMILLE FONTENETTE (NPI# 1356549992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356549992 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE CAMILLE FONTENETTE |
| Credential | MD |
| Practice Address |
351 Sw 9th St Ontario OR 97914-2639 |
| Mailing Address |
311 30th Ave Seattle WA 98122-6223 |
| Practice Telephone | 5418817000 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
243657 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110086500A | 05 | |
| MA | HARVARD PILGRIM | AA186492 | 01 |
| Street Address |
351 SW 9TH ST |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
| 1790209898 | Cep America LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2017-07-31 |
| 1821538471 | Lauren Parker | Registered Nurse | 351 Sw 9th St, Ontario, OR 97914-2639 | 2017-03-01 |
| 1588035885 | Monument Emergency Physicians, LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-10-13 |
| 1013385426 | Valerie Lawrence | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-09-02 |
| 1760872212 | Ellie Nagel | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-02-04 |
| 1891191599 | Saint Alphonsus Hospital | Rehabilitation Hospital | 351 Sw 9th St, Ontario, OR 97914-2639 | 2014-11-07 |
| 1396164737 | Jay Emergency Physicians LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2014-04-14 |
| 1710308804 | Bethany Ericson | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2013-12-17 |
| 1952741118 | Ontario Emergency Specialists, LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
| 1346274115 | Kenneth Alan Bean | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139418 | Larry Michael Wiedenhoft | Emergency Medicine | 465 Manzanita Ave, Manzanita, OR 97130-0810 | 2020-03-17 |
| 1184829244 | Se Jung Shin Md Professional Corporation | Emergency Medicine | 13305 Nw Cornell Road, Suite C, Portland, OR 97229 | 2007-06-19 |
| 1104028059 | Annameika Eve Goldring | Emergency Medicine | 3181 S.w. Sam Jackson Park Rd., Portland, OR 97239 | 2007-06-04 |
| 1053467985 | Brian Murray Auld | Emergency Medicine | 3621 Elderberry Dr S, Salem, OR 97302-4054 | 2007-01-25 |
| 1750448981 | Carl M Melina | Emergency Medicine | 18610 Nw Cornell Road, Suite 100, Hillsboro, OR 97124-9923 | 2007-01-03 |
| 1023103546 | Michael F. Mccaskill | Emergency Medicine | 436 Timber Lane, Grants Pass, OR 97526 | 2006-10-03 |
| 1366486912 | Mark A Stefanelli | Emergency Medicine | 2647 Grand Ave, Astoria, OR 97103-3329 | 2006-06-15 |
| 1801845953 | David Ernest Magaret | Emergency Medicine | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2006-05-08 |
| 1649235219 | Victoria V Harris | Emergency Medicine | 100 E. Main Street, Suite C, Medford, OR 97501-6041 | 2006-04-18 |
| 1285602086 | Erin P Reilly | Emergency Medicine | 860 Beltline Rd, Springfield, OR 97477-1091 | 2006-03-09 |
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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.