ERIC LORENZO FONTANA
NPI 1467396457
Anesthesiologist Assistant in Myrtle Beach, SC

Q: What is Eric Fontana's NPI number?

The NPI number for Eric Fontana is 1467396457. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Q: What is Eric Fontana's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Fontana was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 18, 2026

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 16, 2026, Apr 18, 2026 (2 updates tracked since 2026).

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About Eric Lorenzo Fontana NPPES

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

ERIC LORENZO FONTANA (NPI 1467396457) is an individual anesthesiologist assistant in Myrtle Beach, South Carolina, licensed in South Carolina (MAA.176.AA) and active in the NPI registry since April 2026. He maintains a secondary practice location in Myrtle Beach and is a graduate of Other (2026).

NPPES Registry Identity

NPI1467396457

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameERIC LORENZO FONTANA

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address317 Woodspring LnGreenville, NC 27834-7765 · (252) 802-0194

Phone(843) 692-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateApril 18, 2026

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1467396457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in SC · MAA.176.AA

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

809 82ND PKWY, Myrtle Beach, SC 29572

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Secondary Practice Location 1

Location 11021 Cipriana Dr Ste 100Myrtle Beach, SC 29572-4621 · Phone (843) 449-7885

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Lorenzo Fontana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092271700

PECOS Enrollment IDI20260731004023

Other Providers at the Same Location NPPES 20

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

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist