1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Specialist
  6. NPI Profile

DR. TIMOTHY P FONTAINE MD
NPI 1093828410
Specialist in Greensboro, NC

Active since August 17, 2006PECOS Enrolled
719 GREEN VALLEY ROAD, SUITE 305, GREENSBORO, NC 27408(336) 275-5391(336) 275-4702 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy P Fontaine Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY P FONTAINE MD (NPI 1093828410) is an individual specialist in Greensboro, North Carolina, licensed in North Carolina (38336) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093828410
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. TIMOTHY P FONTAINECredential: MD
Location Address719 GREEN VALLEY ROAD, SUITE 305Greensboro, NC 27408
Mailing Address719 Green Valley Road, Suite 305Greensboro, NC 27408 · (336) 275-5391 · Fax (336) 275-4702
Phone(336) 275-5391
Fax(336) 275-4702
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateNovember 29, 2012
✔ NPI 1093828410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 38336
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
719 GREEN VALLEY ROAD, Greensboro, NC 27408
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE30806NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy P Fontaine Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER SCOTT BOWIE MD
Obstetrics & Gynecology
719 GREEN VALLEY ROAD, SUITE 201
GREENSBORO, NC 27408
Guilford County (336) 378-1110
DR. DANIEL L GOTTSEGEN M.D.
Specialist
719 GREEN VALLEY ROAD, SUITE 305
GREENSBORO, NC 27408
Guilford County (336) 275-5391
DR. DEBORAH LEINER M.D.
Pediatrics
719 GREEN VALLEY ROAD, SUITE 219
GREENSBORO, NC 27408
Guilford County (336) 272-9447
SHASHI KUMAR SETHI MD
Ophthalmology
719 GREEN VALLEY ROAD, SUITE 105
GREENSBORO, NC 27408
Guilford County (336) 230-1010
JILL EVELYN JERTSON M.D.
Obstetrics & Gynecology
719 GREEN VALLEY ROAD, SUITE 101
GREENSBORO, NC 27408
Guilford County (336) 370-0277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Fontaine's NPI number?

The NPI number for Timothy Fontaine is 1093828410. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Timothy Fontaine located?

Timothy Fontaine practices at 719 Green Valley Road Suite 305, Greensboro, NC 27408. The listed phone number is (336) 275-5391.

What is Timothy Fontaine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Timothy Fontaine enrolled in Medicare?

Yes. Timothy Fontaine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Fontaine was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.