Organization Active NPI

Larry a. Hauskins, MD

  • Therapeutic Radiology Physician
  • Lake Charles, LA
National Provider Identifier
1194869206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
10266 Issued in LA
Legal business name
LARRY A. HAUSKINS, MD
Practice address
524 S Ryan St
Lake Charles, LA 70601-5725
Phone
(337) 491-7569
Fax
(337) 491-7798
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Allen Hauskins, MD
Title
Owner
Phone
(337) 491-7569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0203X 10266 LA Primary

Addresses

Primary practice location

524 S Ryan St
Lake Charles, LA 70601-5725

Mailing address

PO Box 3046
Lake Charles, LA 70602-3046
Phone (337) 436-7560

Other identifiers 1

IdentifierTypeStateIssuer
1330175MedicaidLA

Other names 1

  • Regional Cancer Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194869206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706023046",
            "telephone_number": "337-436-7560",
            "fax_number": "337-433-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-491-7569",
            "fax_number": "337-491-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY A. HAUSKINS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUSKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-491-7569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "LA",
            "license": "10266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330175",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Cancer Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.