Basic Information
Provider Information
NPI: 1346532108
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATON
FirstName: THOMAS
MiddleName: ANTHONY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3801 NORTH BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 70806
CountryCode: US
TelephoneNumber: 2253816620
FaxNumber: 2253816629
Practice Location
Address1: 380 9TH ST
Address2:  
City: FLORENCE
State: OR
PostalCode: 974399470
CountryCode: US
TelephoneNumber: 5419977134
FaxNumber: 5419021320
Other Information
ProviderEnumerationDate: 05/11/2011
LastUpdateDate: 08/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QG0300XMD.207522LAN Allopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
390200000X390200000LAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207QG0300XMD188756ORY Allopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine

No ID Information.


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