WEST JEFFERSON SURGERY CENTER, LLC (NPI# 1487657359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487657359 |
| Entity Type | Organization |
| Organization Name | WEST JEFFERSON SURGERY CENTER, LLC |
| Practice Address |
1111 Medical Center Blvd Ste 105n Marrero LA 70072-3152 |
| Mailing Address |
1111 Medical Center Blvd Suite 105 North Marrero LA 70072 |
| Practice Telephone | 5043492332 |
| Practice Fax Number | 5043492359 |
| Mailing Telephone | 5043492332 |
| Mailing Fax Number | 5043492359 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK JUNEAU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5043492332 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
115 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1150011 | 05 | |
| LA | LIC NUMBER | 115 | 01 |
| Street Address |
1111 MEDICAL CENTER BLVD STE 105N |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
| 1457767717 | Elisabeth Lifsey-wood | Nurse Anesthetist, Certified Registered | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780865634 | New Orleans La Uptown West Bank Endoscopy Asc LLC | Clinic/Center | 1111 Medical Center Blvd, Suite S450, Marrero, LA 70072-3151 | 2007-11-20 |
| 1558475210 | Surgical Specialty Associates LLC | Clinic/Center | 4633 Wichers Dr, Suite 200, Marrero, LA 70072-3002 | 2006-08-19 |
| 1508850413 | West Jefferson Surgery Center LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105 North, Marrero, LA 70072 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512734 | Ssl Endoscopy Center LLC | Clinic/Center | 3100 Galleria Dr Ste 305, Metairie, LA 70001-2196 | 2020-06-16 |
| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1598390015 | Christus Surgery Center Villages LLC | Clinic/Center | 385 Bert Kouns Industrial Loop Ste 300, Shreveport, LA 71106-8158 | 2020-03-04 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1073026639 | Mid City Specialty Center, LLC | Clinic/Center | 3600 Florida Blvd Ste 2000, Baton Rouge, LA 70806-3842 | 2017-11-06 |
| 1376055897 | Northern Louisiana Cardiac Services LLC | Clinic/Center | 1453 E Bert Kouns Industrial Loop Ste 220, Shreveport, LA 71105-6810 | 2017-10-25 |
| 1780041749 | Buisson Rnfa, LLC | Clinic/Center | 3042 Hill Ct, Mandeville, LA 70448-8488 | 2016-01-21 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WEST JEFFERSON SURGERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.