Ark-la-Tex Fertility & Reproductive Medicine

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

ARK-LA-TEX FERTILITY & REPRODUCTIVE MEDICINE

Practice address

2401 Greenwood Rd
Shreveport, LA 71103-4010

Phone

(318) 344-4045

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David T Vandermolen, M.D.NPI 1366462368

Title

Director

Phone

(318) 344-4045

Specialties & licenses 1

Addresses

Tax ID family

Ark la Tex Fertility Reproductive Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arklatex Fertility and Reproductive Medicine

  • Ambulatory Fertility Facility
  • Shreveport, LA
  • NPI 1184033854
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Theodore Vandermolen, M.D.

  • Reproductive Endocrinology Physician
  • Shreveport, LA
  • NPI 1366462368
  NPD (past) Authorized official

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1710246210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034010",
            "telephone_number": "318-344-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK-LA-TEX FERTILITY & REPRODUCTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "VANDERMOLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-344-4045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teddy Carlo Alonso Arevalo Rodriguez, MD
• Aline Arif, MD
• Ark la Tex Counseling & Rehab
• Ark la Tex Foot & Ankle Specialists, LLC
• Ark-la-Tex Cardiology, Apmc
• Ark-la-Tex Home Health Inc.
• Ark-la-Tex Medical Services, Inc.
• Ark-la-Tex Mental Health, LLC
• Ark-la-Tex Sound Minds, LLC
• Ark-la-Tex Spine Apmc

• Reproductive Endocrinology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Reproductive Endocrinology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.