NEUROMEDICAL CLINIC OF CENLA,L.L.C.
NPI 1760643670
Preferred Provider Organization in Alexandria, LA

NPI Status: Active since June 23, 2008

Contact Information

3311 PRESCOTT RD
SUITE 216
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 443-0490
Fax: (318) 443-0690

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  • Organization
  • Preferred Provider Organization
  • Accepts Insurance
  • CLIA Number: 19D2098935
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-16-2025

About NEUROMEDICAL CLINIC OF CENLA,L.L.C.

This page provides the complete NPI Profile along with additional information for Neuromedical Clinic Of Cenla,l.l.c., a provider established in Alexandria, Louisiana operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1760643670 assigned on June 2008. The practitioner's primary taxonomy code is 305R00000X with license number 025214 (LA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Gonzalo Ivar Hidalgo M.d. (Owner/physician)

NPI
1760643670
Provider Name
NEUROMEDICAL CLINIC OF CENLA,L.L.C.
Entity Type
Organization
Location Address
3311 PRESCOTT RD SUITE 216 ALEXANDRIA, LA 71301
Location Phone
(318) 443-0490
Location Fax
(318) 443-0690
Mailing Address
3311 PRESCOTT RD SUITE 216 ALEXANDRIA, LA 71301
Mailing Phone
(318) 443-0490
Mailing Fax
(318) 443-0690
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2008
Last Update Date
06-23-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
025214
License State
LA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GONZALO IVAR HIDALGO M.D.

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(318) 443-0490

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1108162MEDICAID (05)LA 
4A824MEDICARE PIN (08)LA 
H51389MEDICARE UPIN (02)LA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2098935
Facility Type
Physician Office
Certificate Effective Date
July 17, 2023
Certificate Expiration Date
July 16, 2025
Laboratory Director
GONZALO I. HIDALGO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Neuromedical Clinic Of Cenla,l.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NEUROMEDICAL CLINIC OF CENLA,L.L.C.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760643670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201246614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 4 + 6 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760643670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. RICHARD PAUL TEXADA SR. MD

Urology

3311 PRESCOTT RD
SUITE 100
ALEXANDRIA, LA
ZIP 71301

(318) 442-3384

DR. JAMES MICHAEL CONERLY MD

Surgery

3311 PRESCOTT RD
SUITE 201
ALEXANDRIA, LA
ZIP 71301

(318) 442-6767

JAMES SUTER PA

Physician Assistant

3311 PRESCOTT RD
SUITE 201
ALEXANDRIA, LA
ZIP 71301

(318) 442-6767

DR. WAYNE L WATKINS M.D.

Surgery

3311 PRESCOTT RD
SUITE 201
ALEXANDRIA, LA
ZIP 71301

(318) 442-6767

DR. STEPHEN PHILIP KATZ M.D.

Specialist

3311 PRESCOTT RD
SUITE 415
ALEXANDRIA, LA
ZIP 71301

(318) 443-9300

JOAN WALKER, M.D., LLC

Family Medicine

3311 PRESCOTT RD
SUITE 411
ALEXANDRIA, LA
ZIP 71301

(318) 767-2200

HAISSAM N BOUZ M.D.

Specialist

3311 PRESCOTT RD
SUITE 314
ALEXANDRIA, LA
ZIP 71301

(318) 448-8517

DR. AMY E. BABIN M. D.

Obstetrics & Gynecology

3311 PRESCOTT RD
SUITE 410
ALEXANDRIA, LA
ZIP 71301

(318) 443-7222

DR. EDAN DAMIAN MORAN M. D.

Obstetrics & Gynecology

(Gynecology)

3311 PRESCOTT RD
ALEXANDRIA, LA
ZIP 71301

(318) 443-7222

DR. GLENN R AUCOIN M. D.

Obstetrics & Gynecology

3311 PRESCOTT RD
SUITE 410
ALEXANDRIA, LA
ZIP 71301

(318) 443-7222

DR. YASSER M NAKHLAWI M.D.

Pediatrics

(Adolescent Medicine)

3311 PRESCOTT RD
SUITE 210
ALEXANDRIA, LA
ZIP 71301

(318) 487-1477

WILLIAM HENRY MACKLIN M.D., FACS

Specialist

3311 PRESCOTT RD
SUITE 105
ALEXANDRIA, LA
ZIP 71301

(318) 484-2667

DR. GONZALO IVAR HIDALGO M.D.

Specialist

3311 PRESCOTT RD
SUITE 216
ALEXANDRIA, LA
ZIP 71301

(318) 443-0490

MRS. BEVERLY SUE LOWENTRITT FNP

Nurse Practitioner

(Family)

3311 PRESCOTT RD
ALEXANDRIA, LA
ZIP 71301

(318) 449-7917

SEAN CHRISTIAN STEHR M.D.

Specialist

3311 PRESCOTT RD
SUITE 311
ALEXANDRIA, LA
ZIP 71301

(318) 441-1111

MRS. JAMIE MARIE WALLACE P.A.

Physician Assistant

(Surgical)

3311 PRESCOTT RD
SUITE 201
ALEXANDRIA, LA
ZIP 71301

(318) 442-6767

MRS. DEBRA V. MCCANN R.PH., P.D.

Pharmacist

3311 PRESCOTT RD
STE 110
ALEXANDRIA, LA
ZIP 71301

(318) 442-9846

CENTRAL LOUISIANA 'CENLA' NEUROLOGY LLC

Neuromusculoskeletal Medicine & OMM

3311 PRESCOTT RD
SUITE 311
ALEXANDRIA, LA
ZIP 71301

(318) 473-0773

ALEXANDRIA GASTROINTESTINAL SPECIALISTS, LLC

Internal Medicine

(Gastroenterology)

3311 PRESCOTT RD
SUITE 411
ALEXANDRIA, LA
ZIP 71301

(318) 623-9064

CENTRAL LOUISIANA ANESTHESIA AND PAIN MANAGEMENT CENTRE APMC

Specialist

3311 PRESCOTT RD
SUITE 415
ALEXANDRIA, LA
ZIP 71301

(318) 443-9300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760643670, enumerated as an "organization" on June 23, 2008.

The provider is located at 3311 PRESCOTT RD SUITE 216 ALEXANDRIA, LA 71301 and the phone number is (318) 443-0490.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.