Provider Demographics
NPI:1033131040
Name:SPILLER, CATHERINE CALDWELL (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CALDWELL
Last Name:SPILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84460
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-4460
Mailing Address - Country:US
Mailing Address - Phone:225-765-5727
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:5000 O DONOVAN BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-6351
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-369-8140
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024966207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1422118Medicaid
LA1422118Medicaid
LA4J471F669Medicare PIN
LA4J471Medicare PIN
I27304Medicare UPIN
LA4J471F668Medicare PIN