Provider Demographics
NPI:1952508525
Name:ARTHUR CAIRE,IV.,M.D., A.P.MC.
Entity Type:Organization
Organization Name:ARTHUR CAIRE,IV.,M.D., A.P.MC.
Other - Org Name:NORTHLAKE WOMEN'S HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAIRE
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:985-643-3100
Mailing Address - Street 1:105 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5544
Mailing Address - Country:US
Mailing Address - Phone:985-643-3100
Mailing Address - Fax:985-641-3777
Practice Address - Street 1:105 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5544
Practice Address - Country:US
Practice Address - Phone:985-643-3100
Practice Address - Fax:985-641-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011415174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1160415Medicaid
LAB62664Medicare UPIN
LA1160415Medicaid