Individual provider Active NPI

Andrew R, Harwood, M.D.

  • Radiation Oncology Physician
  • Lafayette, LA
National Provider Identifier
1407877350
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
06638R Issued in LA
Practice address
4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone
(337) 769-8660
Fax
(337) 769-8661
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 06638R LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800

Mailing address

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

Other identifiers 7

IdentifierTypeStateIssuer
1348007MedicaidLA
06638ROtherLASTATE MEDICAL LICENSE
5DX68OtherLAONCOLOGICS LLC PTAN GROUP
5M543DD21OtherLAPTAN 3 OF 3: EFF 04-28-08
5M543DX68OtherLAANDREW HARWOOD MEDICARE PTAN EFFECTIVE 05/19/2012
5M543DX68OtherLAPTAN 1 OF 3: EFF 04-30-12
5M543C895OtherLAPTAN 2 OF 3: EFF 01-19-04

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001181 LA Practitioner - Radiation Oncology 8426042961 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
06638RLAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deland and Harwood Crowley Partnership Radiation Oncology CurrentSince Apr 4, 1990 Accepting new patients
Acadiana Radiation Therapy LLC Radiation Oncology CurrentSince Oct 31, 2014 Accepting new patients
E Plus Oncologics Louisiana LLC Radiation Oncology CurrentSince Apr 30, 2012 Accepting new patients
Oncologics, Inc. Radiation Oncology PastSince Jan 1, 2017 Accepting new patients

Locations

1108 E 8th St
Crowley, LA 70526
Phone (337) 785-8080

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

917 General Mouton Ave
#A
Lafayette, LA 70501
Phone (337) 237-2057

917 General Mouton Ave
Lafayette, LA 70501
Phone (318) 237-2057

4809 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 237-2057

525 N Lewis St
New Iberia, LA 70563
Phone (337) 364-1131

3975 I 49 S Service Rd
Ste 106
Opelousas, LA 70570
Phone (337) 942-7609

Interoperability endpoints

  • Direct secure messaging: aharwood@epluscancercare.direct.varian.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1407877350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "ANDREW",
        "middle_name": "R,",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "06638R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348007",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "06638R",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONCOLOGICS LLC PTAN GROUP",
            "identifier": "5DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN 3 OF 3: EFF 04-28-08",
            "identifier": "5M543DD21",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW HARWOOD MEDICARE PTAN EFFECTIVE 05/19/2012",
            "identifier": "5M543DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN 1 OF 3: EFF 04-30-12",
            "identifier": "5M543DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN 2 OF 3: EFF 01-19-04",
            "identifier": "5M543C895",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.