ARK-LA-TEX FERTILITY & REPRODUCTIVE MEDICINE (NPI# 1710246210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710246210 |
| Entity Type | Organization |
| Organization Name | ARK-LA-TEX FERTILITY & REPRODUCTIVE MEDICINE |
| Practice Address |
2401 Greenwood Rd Shreveport LA 71103-4010 |
| Practice Telephone | 3183444045 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | DR. DAVID T VANDERMOLEN (DIRECTOR) |
| Authorized Official Telephone | 3183444045 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Street Address |
2401 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462368 | David Theodore Vandermolen | Obstetrics & Gynecology | 2401 Greenwood Rd, Suite A, Shreveport, LA 71103-4010 | 2006-07-20 |
| 1245885540 | Kayla Marie Bryant | Nurse Practitioner | 2401 Greenwood Rd, Shreveport, LA 71103-4010 | 2019-08-05 |
| 1184033854 | Arklatex Fertility and Reproductive Medicine | Nurse Practitioner | 2401 Greenwood Rd, Suite A, Shreveport, LA 71103-4010 | 2014-08-07 |
| 1639438138 | E and A Labs and Imaging LLC | Clinical Medical Laboratory | 2401 Greenwood Rd, Shreveport, LA 71103-4010 | 2012-05-03 |
| 1477681385 | Center for Fertility | Obstetrics & Gynecology | 2401 Greenwood Rd, Shreveport, LA 71103-4010 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462368 | David Theodore Vandermolen | Obstetrics & Gynecology | 2401 Greenwood Rd, Suite A, Shreveport, LA 71103-4010 | 2006-07-20 |
| 1477681385 | Center for Fertility | Obstetrics & Gynecology | 2401 Greenwood Rd, Shreveport, LA 71103-4010 | 2007-03-01 |
| 1578583571 | Steve Norman London | Obstetrics & Gynecology | 1501 Kings Hwy, Department of Ob/gyn, Shreveport, LA 71103-4228 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053630962 | Caroline Ragheb Juneau | Obstetrics & Gynecology | 4321 Magnolia St, New Orleans, LA 70115-6227 | 2010-05-18 |
| 1972770410 | Shailaja Raj Apmc | Obstetrics & Gynecology | 3121 Tolmas Dr, Metairie, LA 70002-5031 | 2008-05-14 |
| 1184686776 | John Michael Storment | Obstetrics & Gynecology | 206 E Farrel Road, Lafayette, LA 70508-6949 | 2006-04-06 |
| 1821098393 | Robert William Kelly | Obstetrics & Gynecology | 671 Rosa Ave, Ste.101, Metairie, LA 70005-2843 | 2005-07-27 |
| 1740286343 | William Edwin Roniger | Obstetrics & Gynecology | 412 Aurora Ave, Metairie, LA 70005-3212 | 2005-06-28 |
| 1962678144 | Southern Fertility Center | Obstetrics & Gynecology | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2008-05-07 |
| 1265644421 | The Fertility Institute of New Orleans | Obstetrics & Gynecology | 800 N Causeway Blvd, Suite 2c, Mandeville, LA 70448-4664 | 2007-05-03 |
| 1053492322 | A Woman's Center for Reproductive Medicine, L.L.C. | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 670, Baton Rouge, LA 70815-4114 | 2006-10-17 |
| 1114929908 | Bobby Wayne Webster | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 670, Baton Rouge, LA 70815-4114 | 2005-08-11 |
| 1437151404 | Belinda Marascalco Sartor | Obstetrics & Gynecology | 800 N Causeway Blvd, Suite 2c, Mandeville, LA 70448 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on ARK-LA-TEX FERTILITY & REPRODUCTIVE MEDICINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.