ALFRED W. HATHORN JR., M.D. APMC
NPI 1487066296
Pediatrics in Shreveport, LA

Q: What is Alfred W. Hathorn Jr., M.D. Apmc's NPI number?

The NPI number for Alfred W. Hathorn Jr., M.D. Apmc is 1487066296. It was assigned to this organization in the NPPES registry on May 28, 2014.

Q: What is Alfred W. Hathorn Jr., M.D. Apmc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 28, 2014

2120 BERT KOUN LOOP, SUITE # L, SHREVEPORT, LA 71118(318) 686-8197(318) 688-5962 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alfred W. Hathorn Jr., M.d. Apmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFRED W. HATHORN JR., M.D. APMC (NPI 1487066296) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since May 2014. The organization lists Ruth A Hathorn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487066296

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameALFRED W. HATHORN JR., M.D. APMC

Location Address2120 BERT KOUN LOOP, SUITE # LShreveport, LA 71118-3351

Mailing Address2120 Bert Koun Loop, Suite # LShreveport, LA 71118-3351 · (318) 686-8197 · Fax (318) 688-5962

Phone(318) 686-8197

Fax(318) 688-5962

Organization SubpartNo

Authorized OfficialRuth A HathornOffice Manager · (318) 686-8197

Enumeration DateMay 28, 2014

✔ NPI 1487066296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in LA · 011400

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP06110 (LA)

2120 BERT KOUN LOOP, Shreveport, LA 71118

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Other Identifiers 2

Medicaid2315889LA

Medicaid1135127LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfred W. Hathorn Jr., M.D. Apmc's NPI number?

The NPI number for Alfred W. Hathorn Jr., M.D. Apmc is 1487066296. It was assigned to this organization in the NPPES registry on May 28, 2014.

Where is Alfred W. Hathorn Jr., M.D. Apmc located?

Alfred W. Hathorn Jr., M.D. Apmc is located at 2120 Bert Koun Loop Suite # L, Shreveport, LA 71118. The listed phone number is (318) 686-8197.

What is Alfred W. Hathorn Jr., M.D. Apmc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Alfred W. Hathorn Jr., M.D. Apmc was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.