MEDICARE: WOMAN'S MATERNAL FETAL MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QM2500X	Medical Specialty Clinic/Center
3	207VM0101X	Maternal & Fetal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396780193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMAN'S MATERNAL FETAL MEDICINE

Provider Business Mailing Address
First Line	:	9000 AIRLINE HIGHWAY
Second Line	:	SUITE 370
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-4114
Country	:	US
Telephone Number	:	225-924-8338
Fax Number	:	225-922-3745

Provider Business Practice Location Address
First Line	:	9000 AIRLINE HIGHWAY
Second Line	:	SUITE 370
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-4114
Country	:	US
Telephone Number	:	225-924-8338
Fax Number	:	225-922-3745

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	TERI G FONTENOT
Credential	:
Telephone Number	:	225-927-1300

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	09/11/2025

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Directions to “WOMAN'S MATERNAL FETAL MEDICINE ” Practice Location

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