Robert Craig Laderer, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

019740 Issued in LA

Practice address

2170 Gause Blvd W Ste 133
Slidell, LA 70460-4127

Phone

(985) 639-6010

Fax

(985) 641-4131

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laderer Physician Services

  • Family Medicine Physician
  • Slidell, LA
  • NPI 1518191188
  Medicare reassignment NPD Authorized official
• Lee Robert Domangue, M.D., a Professional Medical Corporation

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Slidell, LA
  • NPI 1033293790
  NPD (past)
• United Med Care, Inc

  • Clinic/Center
  • Mandeville, LA
  • NPI 1013053032
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481
  Care Compare affiliation

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1487643094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 GAUSE BLVD W STE 133",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604127",
            "telephone_number": "985-639-6010",
            "fax_number": "985-641-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 GAUSE BLVD W STE 133",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604127",
            "telephone_number": "985-639-6010",
            "fax_number": "985-641-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 Gause Blvd W",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704604118",
            "country_code": "US",
            "telephone_number": "985-809-7600",
            "fax_number": "985-809-7432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 Gause Blvd E",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614142",
            "country_code": "US",
            "telephone_number": "985-328-9124",
            "fax_number": "985-328-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADERER",
        "first_name": "ROBERT",
        "middle_name": "CRAIG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Alton Labat, MD
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Jessica Nicole Lacroix
• Laderer Physician Services
• Ladette Transportation
• Ellen Ladner
• Mary Ladner, ACNPC-AG
• Lisa Laferrara, B.S., M.S.
• Raynita Marie Lagard, B.S.

• Family Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.