Provider Demographics
NPI:1629074794
Name:CAIRE, ARTHUR A (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:A
Last Name:CAIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 MEDICAL CENTER DR
Practice Address - Street 2:STE 102
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5537
Practice Address - Country:US
Practice Address - Phone:985-643-3100
Practice Address - Fax:985-641-3777
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011415174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA720847461 0001OtherCIGNA
LA1160415Medicaid
LA153236130118OtherHUMANA
LA0004067092OtherAETNA
LA1160415Medicaid
LA0004067092OtherAETNA