NPIMap

Organization Active NPI

Catherine F. Vanderloos, MD Facog AMC

  • Specialist
  • Shreveport, LA
National Provider Identifier
1013900133
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
07702R Issued in LA
Legal business name
CATHERINE F. VANDERLOOS, MD FACOG AMC
Practice address
2508 Bert Kouns Industrial Loop
Suite 400
Shreveport, LA 71118-3133
Phone
(318) 687-1992
Fax
(318) 687-1993
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Catherine Florence Vanderloos, MEDICAL DOCTORNPI 1588840888
Title
Medical Doctor - OB/GYN
Phone
(318) 687-1992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 07702R LA Primary

Addresses

Primary practice location

2508 Bert Kouns Industrial Loop
Suite 400
Shreveport, LA 71118-3133

Mailing address

2508 Bert Kouns Industrial Loop
Suite 400
Shreveport, LA 71118-3133
Phone (318) 687-1992

Other identifiers 1

IdentifierTypeStateIssuer
1949558MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000601 LA Part B Supplier - Clinic/Group Practice 0840379228 Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1013900133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-687-1992",
            "fax_number": "318-687-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-687-1992",
            "fax_number": "318-687-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE F. VANDERLOOS, MD FACOG AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "VANDERLOOS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR - OB/GYN",
        "authorized_official_telephone_number": "318-687-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "07702R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949558",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.