Andrew P Fontenot (NPI# 1710229737, PAC ID# 2163660929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1710229737 |
| PAC ID by PECOS | 2163660929 |
| Professional Enrollment ID | I20130606000297 |
| Full Name | Andrew P Fontenot |
| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Address |
3340 Players Club Pkwy Suite 350 Memphis TN 38125-8933 |
| Phone Number | 9018441590 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0941347447 |
| Number of Group Practice Members | 165 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440152 | REGIONAL ONE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 | 9018441590 | LIFELINC ANESTHESIA PLLC |
| 877 Jefferson Ave, Memphis, TN 38103-2807 | UT REGIONAL ONE PHYSICIANS INC |
| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kopinski | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Joshua M Lemay | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Thomas A Opilka | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Micah Best | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 5350 Poplar Ave, Suite 900, Memphis, TN 38119-3699 |
| Mary A Hall | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Gregory L Thompson | Anesthesiology | Lifelinc Anesthesia Pllc | 2301 S Lamar Blvd, Lifelinc Anesthesia Pllc, Oxford, MS 38655-5373 |
| David Bruce Mcmindes | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 804 Snow Hill Rd, Salisbury, MD 21804-1938 |
| Susan Coach | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 4805 Montgomery Rd, Suite 140, Norwood, OH 45212-2281 |
| Eric D Hutto | Anesthesiology | Lifelinc Anesthesia Pllc | 611 Alcorn Dr, Corinth, MS 38834-9321 |
| Christopher Harrison Wright | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1200 N State St, Suite 270, Jackson, MS 39202-2027 |
| Street Address |
3340 PLAYERS CLUB PKWY SUITE 350 |
| City | MEMPHIS |
| State | TN |
| Zip | 38125-8933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kopinski | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Karen Koelemay | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Jessica Renee Mcadoo | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Mary C Gilliland | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Brittney Nicole Herzog | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Gloria Patton | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shubi R Mukatira | Psychiatry | Blues City Psychiatry, Pllc | 9485 Creswyn Hills Dr, Memphis, TN 38125 |
| Bonnie L Barnes | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Lauren N Sweet | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Ashlee L Hendry | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Laurie Miller | Nurse Practitioner | Memphis Psychiatric and Addiction Clinic, PC | 8356 Silverwind Dr, Memphis, TN 38125-0767 |
| Allyson B Williams | Nurse Practitioner | Memphis Psychiatric and Addiction Clinic, PC | 8356 Silverwind Dr, Memphis, TN 38125-0767 |
| Radwan R Khuri | Psychiatry | Memphis Psychiatric and Addiction Clinic, PC | 8356 Silverwind Dr, Memphis, TN 38125-0767 |
| Lisa D Pesnell | Qualified Audiologist | Shea Center for Ears, Hearing and Balance Inc. | 3265 W Sarazens Circle, Suite 102, Memphis, TN 38125-0806 |
| John J Shea Iii | Otolaryngology | Shea Center for Ears, Hearing and Balance Inc. | 3265 W Sarazens Circle, Suite 102, Memphis, TN 38125-0806 |
| Michael Lee Stack | Obstetrics/gynecology | 3249 W Sarazens Circle, Memphis, TN 38125-0807 | |
| Find all physicians in zip 38125 | |||
| City | MEMPHIS |
| Zip Code | 38125 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MEMPHIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.