Glen D Hurlston, MD
Individual provider Active NPI Anesthesiology Physician · Leesville, LA
NPI 1962579052 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1962579052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 022284 (LA)
- Practice address
- 1020 W Fertitta Blvd
Leesville, LA 71446-4649 - Phone
- (337) 475-9927
- Fax
- (337) 475-9989
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glen D. Hurlston, M.D., Apmc
Allegiance Hospital of Many, LLC
Practice addresses (Care Compare)
1020 Fertitta Blvd
Leesville, LA 71446-4645
1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041
240 Highland Dr
Many, LA 71449-3718
Phone (318) 256-7380
Hospital & facility affiliations
- Sabine Medical Center
- Byrd Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101005000975 | LA | Practitioner - Anesthesiology |
2365634680 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022284 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Ville Platte LLC | Anesthesiology | Current |
Accepting new patients |
| Allegiance Hospital of Many, LLC | Current | Accepting new patients | |
| Allegiance Hospital of Many, LLC | Current |
Accepting new patients | |
| CLHG-Ville Platte LLC | Current |
Accepting new patients | |
| Allegiance Hospital of Many,LLC | Current |
Accepting new patients | |
| Glen D. Hurlston, M.D., Apmc | Anesthesiology | Current |
Accepting new patients |
Locations
300 E McNeese St
Ste 3A
Lake Charles, LA 70605
Phone (318) 480-1117
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
12060 Texas Hwy
Many, LA 71449
Phone (318) 256-6044
12060 Texas Hwy
#3
Many, LA 71449
Phone (318) 256-9002
240 Highland Dr
Many, LA 71449
Phone (318) 256-5691
800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684
Interoperability endpoints
- brhghurls@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 022284 | LA | Yes |
Addresses
Primary practice location
1020 W Fertitta Blvd
Leesville, LA 71446-4649
Mailing address
PO Box 54346
New Orleans, LA 70154-4346
Phone (337) 475-9927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1676276 | Medicaid | LA |
Other providers in Leesville, LA
- Hospice of Natchitoches, Inc.
- Charles F Hudson
- Angelia Huglen
- Eric Hunter
- Meghan Hunter
- Elizabeth Marie Hutchinson
- Iberia Comprehensive Community Health Center, Inc.
- Ideal Care Family Medical Clinic, LLC
- Kaylin Jackson
- McKenzie Beth Jackson
All providers in Leesville, LA · Anesthesiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.