EUDICE E. FONTENOT (NPI# 1386734887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386734887 |
| Entity Type | Individual |
| Full Name | EUDICE E. FONTENOT |
| Credential | MD |
| Practice Address |
1 Childrens Way Mail Slot 512-3 Little Rock AR 72202-3500 |
| Mailing Address |
1 Children's Way, Mail Slot 512-3 Little Rock AR 72202-3510 |
| Practice Telephone | 5013641479 |
| Practice Fax Number | 5013643667 |
| Mailing Telephone | 5013641479 |
| Mailing Fax Number | 5013643667 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
E-2037 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 124535001 | 05 |
| Street Address |
1 CHILDRENS WAY MAIL SLOT 512-3 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769586 | Kenneth Richard Knecht | Pediatrics | 1 Childrens Way, Slot 512-3, Little Rock, AR 72202-3500 | 2005-12-05 |
| 1467064519 | April Leverton | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-08-20 |
| 1154932655 | Lauren L Lamb | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-08-10 |
| 1184249039 | Thao Vu | Spec/Tech, Pathology | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-06-16 |
| 1619598703 | Elise Caroline Williams | Student in an Organized Health Care Education/Training Program | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-04-30 |
| 1437785938 | Melody Abernathy | Radiology | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-03-16 |
| 1164053625 | Jocelyn Leibovich Dennis | Registered Nurse | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-02-03 |
| 1780224923 | Tabitha Renae Mealer | Orthopaedic Surgery | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-15 |
| 1306486816 | Amber Dane Earls | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-13 |
| 1811546468 | Angelia Kay Trammell | Registered Nurse | 1 Childrens Way, Little Rock, AR 72202-3500 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023108529 | Volkan Tuzcu | Pediatrics | 2001 Brookford Dr, Little Rock, AR 72211-5482 | 2006-10-13 |
| 1104916600 | Renee Bornemeier | Pediatrics | 1 Childrens Way # 512-3, Little Rock, AR 72202-3500 | 2006-10-13 |
| 1194815696 | Elizabeth Frazier | Pediatrics | 1 Childrens Way # 512-03, Little Rock, AR 72202-3500 | 2006-10-13 |
| 1790769586 | Kenneth Richard Knecht | Pediatrics | 1 Childrens Way, Slot 512-3, Little Rock, AR 72202-3500 | 2005-12-05 |
| 1083001382 | Tanmay Anant Bhamare | Pediatrics | 4301 W Markham St # 753, Little Rock, AR 72205-7101 | 2015-04-24 |
| 1952719338 | Senthuran Vijayarajah | Pediatrics | 1 Childrens Way # 512, Little Rock, AR 72202-3500 | 2014-07-29 |
| 1346594470 | Elijah Holbrook Bolin | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2012-10-26 |
| 1366721599 | Karl Migally | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2011-08-05 |
| 1639457690 | Pediatric Arrhythmia Services Pllc | Pediatrics | 2001 Brookford Dr, Little Rock, AR 72211-5482 | 2011-07-25 |
| 1073806618 | Markus Stephan Renno | Pediatrics | 1 Childrens Way # 512-3, Little Rock, AR 72202 | 2011-05-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
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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.