SOUTHPARK SURGERY CENTER, LLC (NPI# 1770096273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770096273 |
| Entity Type | Organization |
| Organization Name | SOUTHPARK SURGERY CENTER, LLC |
| Other Organization Name | CARDIOVASCULAR SURGERY CENTER |
| Practice Address |
901 Wilson St Ste A Lafayette LA 70503-2439 |
| Mailing Address |
13830 Sawyer Ranch Rd Ste 105 Dripping Springs TX 78620-5514 |
| Practice Telephone | 5122203824 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | JARED LEGER (MANAGER) |
| Authorized Official Telephone | 3372746549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cardiovascular Surgery Center | Doing Business As Name - Organization |
| Street Address |
901 WILSON ST STE A |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1417294745 | Coal Creek Ambulatory Surgery Center PC | Clinic/Center | 130 Old Laramie Trl Bldg 4, Lafayette, CO 80026 | 2013-01-07 |
| 1598979734 | Jeffrey Craig Friedman | Clinic/Center | 911 Moraga Rd Ste 205, Lafayette, CA 94549-4500 | 2007-05-09 |
| 1174588099 | Iu Health Arnett Hospital, Inc | Clinic/Center | 1327 S 500 E, Lafayette, IN 47905-8718 | 2006-04-20 |
| 1912971326 | Advanced Surgery Center, LLC | Clinic/Center | 1400 Teal Rd, Suite 7, Lafayette, IN 47905-2463 | 2006-02-14 |
| 1124005558 | Surgicenter Group, LLC | Clinic/Center | 3733 Rome Dr, Lafayette, IN 47905-4490 | 2005-12-28 |
| 1154318376 | Lahaye Center for Advanced Eye Care of Lafayette, Inc. | Clinic/Center | 201 Rue Iberville, Suite 800, Lafayette, LA 70508-8503 | 2005-10-03 |
| 1659363844 | Laser & Surgery Center of Acadiana | Clinic/Center | 514 Saint Landry St, Lafayette, LA 70506-4626 | 2005-08-16 |
| 1003816307 | Sagamore Surgical Services, Inc. | Clinic/Center | 2320 Concord Rd, Ste B, Lafayette, IN 47909-2708 | 2005-07-28 |
| Find all providers in LAFAYETTE | ||||
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| 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.