1003194580 NPI number — JOHN F. LOUPE, M.D., A.P.M.C.

Table of content: (NPI 1003194580)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003194580 NPI number — JOHN F. LOUPE, M.D., A.P.M.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN F. LOUPE, M.D., A.P.M.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003194580
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7414 PICARDY AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70808-4696
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-769-6595
Provider Business Mailing Address Fax Number:
225-769-5064

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7414 PICARDY AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70808-4696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-769-6595
Provider Business Practice Location Address Fax Number:
225-769-5064
Provider Enumeration Date:
08/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LOUPE
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
F.
Authorized Official Title or Position:
SOLE OWNER
Authorized Official Telephone Number:
225-769-6595

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD010378 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 615426100 . This is a "DEPT. OF LABOR" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1112305 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 101427 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1537898 . This is a "CIGNA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 437681810 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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