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Deactivated NPI 1821394164 Deactivated / Inactive NPI Female Practitioner

Dr. Catherine J. Fontana , MD

General Practice • Ballwin, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Catherine Fontana has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2011
NPI Deactivation Date March 13, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Catherine Fontana, MD was a registered General Practice practicing in Ballwin, MO. Throughout an active medical career spanning 6 years, Dr. Fontana provided care at the practice location at 34 MOMBERT DR until profile deactivation on 2017-03-13.

Practice Location & Contact Primary Location

Practice Address

34 Mombert Dr

Ballwin, MO 630217710

Telephone 6362250679
Fax 6362250679

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ballwin, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ballwin, MO (221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 2004002415

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2017

Record deactivated on March 13, 2017

NPI Profile Active February 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 03, 2011

Registered at 34 MOMBERT DR, BALLWIN, MO 630217710 (Tel: 6362250679)

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Updated Business Mailing Address February 03, 2011

Registered at 34 MOMBERT DR, BALLWIN, MO 630217710 (Tel: 6362250679)

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Provider Name / Credentials Updated February 03, 2011

Recorded as CATHERINE FONTANA, M. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2011

General Practice (License #2004002415 in MO)

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Initial NPI Registration & Enumeration February 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821394164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2011
Last Update: February 03, 2011
Deactivation Date: March 13, 2017

Mailing Address

34 Mombert Dr

Ballwin, MO 630217710

Phone: 6362250679

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.