HARDTNER MEDICAL CENTER (NPI# 1184800724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184800724 |
| Entity Type | Organization |
| Organization Name | HARDTNER MEDICAL CENTER |
| Practice Address |
1102 N Pine Rd Olla LA 71465-4804 |
| Practice Telephone | 3184953131 |
| Practice Fax Number | 3184953346 |
| Mailing Telephone | 3184953131 |
| Mailing Fax Number | 3184953346 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. PAUL G MATHEWS (CEO) |
| Authorized Official Telephone | 3184953131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
06648R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1335215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801072442 | Hardtner Medical Center | General Practice | 1102 North Pine Rd, Olla, LA 71465 | 2008-01-14 |
| 1215113865 | Hardtner Medical Center | General Practice | 1102 North Pine Rd, Olla, LA 71465 | 2008-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARDTNER MEDICAL CENTER | 1102 N Pine Rd, Olla, LA 71465-4804 |
| Street Address |
1102 N PINE RD |
| City | OLLA |
| State | LA |
| Zip Code | 71465-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548398852 | Lasalle Hospital Service District #1 | Psychiatric Hospital | 1102 N Pine Rd, Olla, LA 71465-4804 | 2007-02-28 |
| 1376019257 | Mallory Morton | Dietitian, Registered | 1102 N Pine Rd, Olla, LA 71465-4804 | 2018-10-18 |
| 1588101794 | Breanne Smith | Dietitian, Registered | 1102 N Pine Rd, Olla, LA 71465-4804 | 2017-01-25 |
| 1952852782 | Lasalle Parish Hospital Service District #1 | Ambulance | 1102 N Pine Rd, Olla, LA 71465-4804 | 2016-10-17 |
| 1912367277 | Sahara Emergency Physicians, LLC | Physician Assistant | 1102 N Pine Rd, Olla, LA 71465-4804 | 2016-03-01 |
| 1265851901 | Charl Frederick Du Toit Ceronio | Family Medicine | 1102 N Pine Rd, Olla, LA 71465-4804 | 2014-04-09 |
| 1174815062 | Nuzhath Tasneem | Family Medicine | 1102 N Pine Rd, Ste C, Olla, LA 71465-4804 | 2011-05-10 |
| 1427377662 | Lasalle Parish Hospital Service District #1 | General Acute Care Hospital | 1102 N Pine Rd, Olla, LA 71465-4804 | 2010-05-27 |
| 1174772990 | Castor Creek Emergency Physicians LLC | Emergency Medicine | 1102 N Pine Rd, Olla, LA 71465-4804 | 2008-09-17 |
| 1184815466 | Lasalle Parish Hospital Service District #1 | General Acute Care Hospital | 1102 N Pine Rd, Olla, LA 71465-4804 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044131 | Melainea Ashley | Counselor | 118 Ap Loop, Olla, LA 71465 | 2016-10-20 |
| 1982059705 | Kristen Derr | Occupational Therapist | 3822 Hwy 124e, Olla, LA 71465 | 2016-04-29 |
| 1578986634 | Advanced Sitting Solutions, Inc. | Day Training/Habilitation Specialist | 4446 A Hwy 165 South, Olla, LA 71465 | 2014-01-27 |
| 1144572579 | Advanced Sitting Solutions | Adult Companion | 4446 A Hwy 165, Olla, LA 71465 | 2012-10-09 |
| 1255681052 | Advanced Sitting Solutions | Adult Companion | 4446 Highway 165 South, Suite A, Olla, LA 71465 | 2012-09-19 |
| 1306117973 | Rickey Smotherman | Pharmacist | 2832 Front Street, Olla, LA 71465 | 2012-01-13 |
| 1801195300 | Surgeoncare Physicians of Louisiana, LLC | Surgery | 1160 N Pine Rd, Olla, LA 71465 | 2011-03-23 |
| 1962665372 | Laura Cummings Griffin | Nurse Practitioner | 1136 North Pine Rd, Olla, LA 71465 | 2008-07-07 |
| 1801072442 | Hardtner Medical Center | General Practice | 1102 North Pine Rd, Olla, LA 71465 | 2008-01-14 |
| 1205018017 | Kenneth P. Mauterer Md A Medical Corp | General Practice | 1148 N Pine Road, Olla, LA 71465 | 2007-12-04 |
| Find all providers in zip 71465 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518272129 | Keith B. Kessel M.d., LLC | Psychiatry & Neurology | 745 Olive St Ste 109, Shreveport, LA 71104-2250 | 2010-08-09 |
| 1467544700 | James H Phillips | Psychiatry & Neurology | Attn: Credentials Coordinator, 510 East Stoner Avenue, Shreveport, LA 71101-4243 | 2006-09-28 |
| 1265784094 | Thibodaux Regional Network Development Corporation | Psychiatry & Neurology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2012-10-03 |
| 1568768679 | Gulf South Psychiatry, LLC | Psychiatry & Neurology | 1924 Corporate Square Dr, Suite D, Slidell, LA 70458-3164 | 2011-02-07 |
| 1568777480 | Atluri & Associates, LLC | Psychiatry & Neurology | 8542 Siegen Ln, Baton Rouge, LA 70810-1940 | 2010-08-16 |
| 1114256476 | Wk Shreveport Center for Geriatric Health | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2009-12-16 |
| 1942414552 | Jeffrey T Overdyke | Psychiatry & Neurology | 2508 Bert Kouns Loop, Suite 303, Shreveport, LA 71118-3133 | 2007-05-10 |
| 1356328074 | Navin P Patel | Psychiatry & Neurology | 3600 Florida Blvd, Room 4613, Baton Rouge, LA 70806-3842 | 2005-12-22 |
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| 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.