Individual provider Active NPI

Angela H Pharr, PA

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1609058395
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200148 Issued in LA
Practice address
2727 Hearne Ave
Suite 300
Shreveport, LA 71103-3931
Phone
(318) 798-9400
Fax
(318) 798-3894
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200148 LA Primary

Addresses

Primary practice location

2727 Hearne Ave
Suite 300
Shreveport, LA 71103-3931

Mailing address

PO Box 51008
Shreveport, LA 71135-1008
Phone (318) 798-9400

Other identifiers 1

IdentifierTypeStateIssuer
1115380MedicaidLA

Other names 1

  • Angela Christine Hanna Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080530000107 LA Practitioner - Physician Assistant 3375613557 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200148LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince Feb 24, 2025 Accepting new patients
Minden Physician Practices LLC CurrentSince Feb 24, 2025 Accepting new patients
University Health Shreveport LLC Physician Assistant CurrentSince Oct 1, 2018 Accepting new patients
University Health Shreveport LLC CurrentSince Oct 1, 2018 Accepting new patients
Ark-la-Tex Cardiology, Apmc PastSince Mar 1, 1991 Accepting new patients
Minden Physician Practices LLC Past Accepting new patients

Locations

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

3 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-7134

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

2 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-6500

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

Interoperability endpoints

  • Direct secure messaging: angela.pharrpa.p1@direct.acs.nextgenshare.com
  • Direct secure messaging: minapharr@yourcarecommunity.org
  • Direct secure messaging: angela.pharr.1@3681.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLC 48 clinicians

Practice addresses (Care Compare)

102 S Monroe St
Suite B
Minden, LA 71055-3357
Phone (318) 382-7290

1111 Homer Rd
Minden, LA 71055-3027
Phone (318) 377-7500

Hospital & facility affiliations

  • Minden Medical Center Hospital, Minden, LA, CCN 190144

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1609058395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51008",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711351008",
            "telephone_number": "318-798-9400",
            "fax_number": "318-798-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HEARNE AVE",
            "address_2": "SUITE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033931",
            "telephone_number": "318-798-9400",
            "fax_number": "318-798-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARR",
        "first_name": "ANGELA",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115380",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HANNA",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.