Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roderick W Fontenette, MD

Individual provider Emergency Medicine Physician · NPI 1164672499

Roderick W Fontenette, MD is an Emergency Medicine in Travis AFB, California. Graduated from Louisiana State University School of Medicine in Shreveport in 2008, 18 years ago. Practices with Trinity Emergency Physicians, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Indiana, Louisiana and Ohio.

Years since qualifying
18
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
CA, IN, LA, OH
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Bodin Cir Central Credentialing
Travis AFB, CA 94535-1809
Phone: (707) 423-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 231 Albert Sabin Way, Cincinnati, OH 45267-2827 — (513) 558-5281

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 147303 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01069587A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 35 096666 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD.203768 (LA)

Record details

NPI number1164672499
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 23, 2008
Last updated in NPPESMay 17, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2008 (18 years in practice)
Group practice Trinity Emergency Physicians — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Travis AFB