REED A FONTENOT JR.


Address: 2016 Oak Park Blvd, Lake Charles, LA 70601-7828
Phone: 3374778861

REED A FONTENOT JR. (NPI# 1417934373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417934373
Entity Type Individual
Full Name REED A FONTENOT JR.
Credential MD
Practice Address 2016 Oak Park Blvd
Lake Charles
LA 70601-7828
Practice Telephone 3374778861
Practice Fax Number 3374773092
Mailing Telephone 3374778861
Mailing Fax Number 3374773092
Enumeration Date 2005-12-30
Last Update Date 2008-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 010029 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1110744 05
LA BCBS 05242 01

Office Location

Street Address 2016 OAK PARK BLVD
City LAKE CHARLES
State LA
Zip Code 70601-7828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275142168 Nicole Ardoin Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2020-07-27
1386106995 Linda Rae-leigh Johnson Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2019-04-02
1447711577 Shelby Sonnier Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2019-03-29
1093209322 Sarah Coco Egnatuk Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2018-06-20
1609388107 Jennifer Jolly Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2017-10-25
1518479013 Michelle Angelica Stokes Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2017-10-25
1376052456 Channing Ann Langlinais Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2017-09-21
1205285129 Kayla Wilburn Behavioral Analyst 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2016-06-10
1437424991 Southwest Louisiana Independence Center, Inc Community/Behavioral Health 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2012-03-16
1598770869 John H Upshaw Jr. Urology 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2006-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861794745 John Richard Enright Urology 4080 Locke Ln, Lake Charles, LA 70605-2258 2010-11-26
1558491803 Lake Charles Medical Services Urology LLC Urology 2770 3rd Ave Ste 240, Lake Charles, LA 70601-8994 2007-03-06
1457453722 John W Melton Md & Reed A Fontenot Jr Md Apmc Urology 2016 Dak Park Blvd, Lake Charles, LA 70601-7828 2006-09-05
1043201569 James Jeffery Jancuska Urology 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 2005-11-03
1205827094 Kenneth Steven Verheeck Urology 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 2005-11-02
1326449430 Urology Center Urology 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 2014-09-08
1598770869 John H Upshaw Jr. Urology 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2006-07-29
1346267077 Stacy Mcbroom Urology 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 2006-07-17
1619993672 Urology Center of Southwest Louisiana Inc Urology 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 2006-07-14
1346231065 Farjaad Siddiq Urology 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 2005-11-02
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

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.

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