Alfred W. Hathorn Jr., M.D. APMC
NPI 1487066296ActiveOrganization· Pediatrics· Shreveport, LA
Pediatrics in Shreveport, Louisiana, registered in NPPES in May 2014. The authorized official on file is Ruth A. Hathorn, Office Manager.
Overview
| NPI | 1487066296 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2014 |
| Last updated in NPPES | May 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 011400 | LA |
| Nurse Practitioner, Acute Care | 363LA2100X | AP06110 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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