National Provider Identifier
Thomas J Fountaine, MD
Thomas J Fountaine, MD is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Emergency Medicine) Physician in Rochester, NY and a listed phone number of (585) 275-5863.
Profile Overview
- NPI
- 1306160106
- Provider Type
- Individual
- Primary Specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Enumeration Date
- March 23, 2010
- Last Updated
- July 21, 2022
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-3001
Phone: (585) 275-5863
Mailing Address
- 601 Elmwood Ave Box Med
- Rochester, NY 14642-0001
Specialties
- Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X)
- Pediatric Hematology & Oncology Physician (2080P0207X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1306160106
- Entity Type
- Individual
- Last Name
- Fountaine
- First Name
- Thomas
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 784-9861
- Mailing Fax
- (585) 427-8424
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-3001
- Practice Country
- US
- Practice Phone
- (585) 275-5863
- Practice Fax
- (585) 273-5761
- Enumeration Date
- March 23, 2010
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), Pediatric Hematology & Oncology Physician (2080P0207X), Student in an Organized Health Care Education/Training Program (390200000X)