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JOHN FONTAINE MD NPI 1811945017


NPI Information

NPI: 1811945017
Provider Name: JOHN FONTAINE, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: FLORIDA HEART ASSOCIATES PL

PECOS Registration: Yes

Address:
219 N BROAD ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 762-5080
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John Fontaine, MD is a cardiovascular disease internal medicine in Philadelphia, PA with 45 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. John Fontaine, MD NPI is 1811945017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Graduation Year:1979

The provider's business location address is:

219 N BROAD ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19107-519
Phone: (215) 762-5080
Fax: (215) 561-8071

The NPI 1811945017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)

The enumeration date for this NPI number is 5/4/2006 and was last updated on 9/13/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyMD042292LPENNSYLVANIANo
2207RC0000XInternal MedicineCardiovascular DiseaseMD042292LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B80610MEDICARE UPINPENNSYLVANIA
2559272MEDICARE PINPENNSYLVANIA
3001214146MEDICAIDPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.