OrganizationActive
Kenneth P. Mauterer MD a Medical Corp
NPI 1205018017 · General Practice Physician · Olla, LA
Provider details
- NPI number
- 1205018017
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Mauterer, President(318) 495-3131
- License
- 012667 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1148 N Pine Road
Olla, LA 71465
Phone: (318) 495-3131
Fax: (318) 495-3677
Street-level locationGet directions
Mailing address
Po Box 668
Olla, LA 71465-0668
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2007-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.