NPIMap

Organization Active NPI

Cenla Heart Specialists LLC

  • Interventional Cardiology Physician
  • Alexandria, LA
National Provider Identifier
1063579456
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CENLA HEART SPECIALISTS LLC
Practice address
2108 Texas Ave
Suite 2061
Alexandria, LA 71301-3944
Phone
(318) 448-1041
Fax
(318) 448-0865
NPI assigned
Jan 3, 2007
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Harry R Hawthorne, M.D.NPI 1730151184
Title
Managing Partner
Phone
(318) 448-1041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X LA Primary

Addresses

Primary practice location

2108 Texas Ave
Suite 2061
Alexandria, LA 71301-3944

Mailing address

2108 Texas Ave
Suite 2061
Alexandria, LA 71301-3944
Phone (318) 448-1041

Other identifiers 2

IdentifierTypeStateIssuer
CJ8426OtherLARAILROAD MEDICARE
1443336MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707000274 LA Part B Supplier - Clinic/Group Practice 7517903958 Receives reassigned benefits from 8 practitioners
Practice locations: Alexandria, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0957069Cenla Heart Specialists2108 Texas Avenue Suite 2061, Alexandria, LA 71301Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

1270 Southampton Dr
Alexandria, LA 71303
Phone (318) 442-8007

2108 Texas Ave
Ste 2061
Alexandria, LA 71301
Phone (318) 448-1041

301 4th St
Ste 3A1
Alexandria, LA 71301
Phone (318) 443-8090

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1063579456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE",
            "address_2": "SUITE 2061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013944",
            "telephone_number": "318-448-1041",
            "fax_number": "318-448-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE",
            "address_2": "SUITE 2061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013944",
            "telephone_number": "318-448-1041",
            "fax_number": "318-448-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENLA HEART SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "318-448-1041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8426",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443336",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.