Provider Demographics
NPI:1003194580
Name:JOHN F. LOUPE, M.D., A.P.M.C.
Entity type:Organization
Organization Name:JOHN F. LOUPE, M.D., A.P.M.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOUPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-769-6595
Mailing Address - Street 1:7414 PICARDY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4696
Mailing Address - Country:US
Mailing Address - Phone:225-769-6595
Mailing Address - Fax:225-769-5064
Practice Address - Street 1:7414 PICARDY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4696
Practice Address - Country:US
Practice Address - Phone:225-769-6595
Practice Address - Fax:225-769-5064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD010378174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA615426100OtherDEPT. OF LABOR
LA1112305Medicaid
LA101427OtherUNITED HEALTH CARE
LA1537898OtherCIGNA
LA437681810OtherBLUE CROSS/BLUE SHIELD