NPIMap

Organization Active NPI

Hardtner Medical Center

  • Geriatric Psychiatry Physician
  • Olla, LA
National Provider Identifier
1184800724
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
06648R Issued in LA
Legal business name
HARDTNER MEDICAL CENTER
Practice address
1102 N Pine Rd
Olla, LA 71465-4804
Phone
(318) 495-3131
Fax
(318) 495-3346
NPI assigned
Jan 14, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. Paul G Mathews
Title
Ceo
Phone
(318) 495-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 06648R LA Primary

Addresses

Primary practice location

1102 N Pine Rd
Olla, LA 71465-4804

Mailing address

1102 N Pine Rd
Olla, LA 71465-4804
Phone (318) 495-3131

Other identifiers 1

IdentifierTypeStateIssuer
1335215MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lasalle Hospital Service District 18 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/777b5367-b223-44ce-9be8-fc23b019a51a/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/hardtne-02ec3c6a

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1184800724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N PINE RD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-3131",
            "fax_number": "318-495-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N PINE RD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-3131",
            "fax_number": "318-495-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDTNER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-495-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "LA",
            "license": "06648R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335215",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olla, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.