Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Fontaine, PA-C

Individual provider Physician Assistant · NPI 1033593025

Taylor Fontaine, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2015, 11 years ago. Practices with Catalyst Medical Center PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
11
Licensed in
MN, ND
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 21st Ave S
Fargo, ND 58103-5759
Phone: (701) 365-8700
Fax: (701) 365-8701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Belsly Blvd, Moorhead, MN 56560-5055 — (218) 364-6800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0603 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 11875 (MN)

Record details

NPI number1033593025
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 20, 2015
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Catalyst Medical Center Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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