COASTAL SURGERY CENTER, LLC (NPI# 1962633636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962633636 |
| Entity Type | Organization |
| Organization Name | COASTAL SURGERY CENTER, LLC |
| Practice Address |
215 W Prien Lake Rd Suite B Lake Charles LA 70601-8450 |
| Mailing Address |
Po Box 4838 Lake Charles LA 70606-4838 |
| Practice Telephone | 3374779019 |
| Practice Fax Number | 3374781290 |
| Mailing Telephone | 3374779019 |
| Mailing Fax Number | 3374781290 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | MS. KRISTI WIDCAMP (MANAGER) |
| Authorized Official Telephone | 3374779019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
LA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316219470 | Coastal Surgery Center, LLC | Clinic/Center | 3700 Route 33, Suite Ll-01, Neptune, NJ 07753-3206 | 2012-02-06 |
| 1902832405 | Coastal Surgery Center, LLC | Clinic/Center | 4147 Southpoint Dr E, Jacksonville, FL 32216-0996 | 2006-06-25 |
| Street Address |
215 W PRIEN LAKE RD SUITE B |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699760264 | Joshua A Allen | Anesthesiology | 215 W Prien Lake Rd, Coastal Pain Care, Lake Charles, LA 70601-8450 | 2005-09-20 |
| 1407338338 | Selim Surgery Center, LLC | Clinic/Center | 215 W Prien Lake Rd, Suite B, Lake Charles, LA 70601 | 2018-09-06 |
| 1528459260 | Louisiana Surgeons of Excellence, LLC | Surgery | 215 W Prien Lake Rd, Suite A, Lake Charles, LA 70601-8450 | 2015-02-17 |
| 1689789083 | Niazy Mahmoud Selim | Surgery | 215 W Prien Lake Rd, Suite A, Lake Charles, LA 70601-8450 | 2006-08-19 |
| 1881641405 | Coastal Pain Care Lake Charles, LLC | Physical Medicine & Rehabilitation | 215 W Prien Lake Rd, Lake Charles, LA 70601-8450 | 2006-05-28 |
| 1275595589 | James Harvey Eddy IIi | Anesthesiology | 215 W Prien Lake Rd, Lake Charles, LA 70601-8450 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972051548 | Dynamic Spinal Imaging of Swla, LLC | Clinic/Center | 805 W Bayou Pines Dr, Suite D, Lake Charles, LA 70601-9605 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1003954199 | Louisiana Pain Care | Clinic/Center | 210 Layton Avenue, Suite 20, Monroe, LA 71210 | 2007-02-02 |
| 1528129616 | Pain Mastery and Rehabilitaion Institute | Clinic/Center | 16777 Medical Center Drive, Suite 302, Baton Rouge, LA 70816 | 2006-12-12 |
| 1174099568 | Comprehensive Medical LLC | Clinic/Center | 3434 Houma Blvd Ste 301, Metairie, LA 70006-4201 | 2018-10-23 |
| 1780135632 | Dynamic Spinal Imaging of Baton Rouge, LLC | Clinic/Center | 7922 Summa Ave, Suite 4, Baton Rouge, LA 70809-3475 | 2016-10-16 |
| 1710218698 | Vipul Shelat Apmc | Clinic/Center | 312 Grammont St, #400b, Monroe, LA 71201-7457 | 2010-01-16 |
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on COASTAL 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.