SOUTH LOUISIANA SURGICAL ASSOCIATION, LLC (NPI# 1023148855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023148855 |
| Entity Type | Organization |
| Organization Name | SOUTH LOUISIANA SURGICAL ASSOCIATION, LLC |
| Practice Address |
1100 Andre St Ste 101 New Iberia LA 70563-2159 |
| Practice Telephone | 3373699309 |
| Practice Fax Number | 3373658455 |
| Mailing Telephone | 3373699309 |
| Mailing Fax Number | 3373658455 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD W DAUTERIVE JR. (M.D.) |
| Authorized Official Telephone | 3373699309 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1100 ANDRE ST STE 101 |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437183670 | Peripheral Vascular, Inc. | Radiology | 1100 Andre St Ste 101, New Iberia, LA 70563-2159 | 2006-07-11 |
| 1396088464 | Progressive Acute Care Physician Services, LLC | Surgery | 1100 Andre St Ste 101, New Iberia, LA 70563-2159 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1033687439 | Debra Vidrine, Health Care Services,llc | Clinic/Center | 1535 W Main St Ste 100, Ville Platte, LA 70586-2867 | 2018-11-05 |
| 1922591080 | Aca Clinic | Clinic/Center | 23823 Eden St, Plaquemine, LA 70764-3315 | 2018-06-12 |
| 1841794989 | West Wellness, LLC | Clinic/Center | 7941 Picardy Ave Ofc 2, Baton Rouge, LA 70809-3536 | 2018-03-22 |
| 1588195341 | Ann M Waguespack | Clinic/Center | 9736 Kinglet Dr, Baton Rouge, LA 70809-4611 | 2017-03-23 |
| 1104297720 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-10-08 |
| 1619355955 | Heavenly Touch Personal Care | Clinic/Center | 235 Olive St, Shreveport, LA 71104-2415 | 2015-05-07 |
| 1396135331 | Affinity Medical Center | Clinic/Center | 3143 N Roman St, New Orleans, LA 70117-6509 | 2015-01-29 |
| 1689081218 | Mps Healthcare, LLC | Clinic/Center | 16416 Spanish Ct, Greenwell Springs, LA 70739-5936 | 2014-07-15 |
| 1578821948 | Dyson & Dyson Inc. | Clinic/Center | 322 Messina St., Abbeville, LA 70510 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
Please comment or provide details below to improve the information on SOUTH LOUISIANA SURGICAL ASSOCIATION, 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.