Hargroder Medical, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

020601 Issued in LA

Legal business name

HARGRODER MEDICAL, INC.

Practice address

3501 Highway 190 Ste X
Eunice, LA 70535-5129

Phone

(337) 580-7544

Fax

(337) 580-7621

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ty Glenn Hargroder, M.D.NPI 1093761645

Title

President

Phone

(337) 684-5232

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEEJAD

Practitioners 4

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.

• Ty Glenn Hargroder, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Eunice, LA
  • NPI 1093761645
  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Ann Jaubert, ANP-C

  • Adult Health Nurse Practitioner
  • Abbeville, LA
  • NPI 1780703710
  Medicare reassignment Care Compare group NPD
• Sadie McCauley Ardoin, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1053567750
  NPD (past)
• Cindy K Stelly, APRN, ANP-C

  • Adult Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1972775005
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1356484703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705250407",
            "telephone_number": "337-684-5232",
            "fax_number": "337-684-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HIGHWAY 190 STE X",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355129",
            "telephone_number": "337-580-7544",
            "fax_number": "337-580-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARGRODER MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "HARGRODER",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-684-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "020601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038458",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Duplechin Guillory
• Robert K. Guillory, M.D.
• Toni Guillory, PT
• Tiffany Gurley
• Skylar Hall
• Ty Glenn Hargroder, MD
• Harmony House Counseling & Life Coaching, LLC
• Katherine Harper, FNP
• Calli Hart, WHNP-BC
• Healing Grace Counseling and Mediation Services LLC

• Family Medicine Physician in Eunice, LA
• Providers in Eunice, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.