CHARLES EDWARD FONTENOT MD NPI 1417992413

NPI Information

  • NPI: 1417992413
  • Provider Name: CHARLES EDWARD FONTENOT, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1535 W MAIN STREET
    VILLE PLATTE, LA
    ZIP 70586
  • Phone: (337) 363-5521

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NPI Details

Charles Edward Fontenot, MD is a general practice in Ville Platte, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Charles Edward Fontenot, MD NPI is 1417992413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1535 W MAIN STREET
VILLE PLATTE, LA
ZIP 70586
Phone: (337) 363-5521
Fax: (337) 363-9134

The enumeration date for this NPI number is 6/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice010529LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
157828MEDICARE ID-TYPE UNSPECIFIEDLOUISIANACORPORTATION GROUP NUMBER
21101923MEDICAIDLOUISIANA
35J379OTHERLOUISIANAMEDICARE INDIVIDUAL
4B60449MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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