Cao Care Inc

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

201161 Issued in LA

Legal business name

CAO CARE INC

Practice address

2924 Knight St Ste 408
Shreveport, LA 71105-2413

Phone

(318) 734-7797

NPI assigned

Apr 3, 2009

Organization subpart

No

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

Authorized official

Name

Mandy Lynn Broudreaux, MD

Title

President

Phone

(318) 734-7797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1336381458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 408",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-734-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 408",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-734-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAO CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "BROUDREAUX",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-734-7797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "LA",
            "license": "201161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nydia Cannon, RN, APRN
• Shannon Marie Cannon, MSW, LCSW
• Tammy Gallagher Cannon, F.N.P.
• Jeannie Cantrell, MCD, CCC-SLP
• Philip Cantu
• Charles Dai-Trieu Cao, RKT
• Caroline Virginia Caperton, M.D., M.S.P.H.
• Nicole Capito
• Capitol City Family Health Center, Incorporated
• Capitol City Family Health Center, Incorporated

• Obstetrics Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Obstetrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.