Organization Active NPI

Summit Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Covington, LA
National Provider Identifier
1003842527
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
136 Issued in LA
Legal business name
SUMMIT SURGERY CENTER, LLC
Practice address
7015 Hwy 190 E Serv Rd
101B
Covington, LA 70433-4960
Phone
(985) 893-9366
Fax
(985) 809-1664
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allan Parr, M.D.
Title
President
Phone
(985) 809-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 136 LA Primary

Addresses

Primary practice location

7015 Hwy 190 E Serv Rd
101B
Covington, LA 70433-4960

Mailing address

7015 Hwy 190 E Serv Rd
101B
Covington, LA 70433-4960
Phone (985) 893-9366

Other identifiers 1

IdentifierTypeStateIssuer
1335398MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050307000006 LA Part B Supplier - Ambulatory Surgical Center 9739133448 Receives reassigned benefits from 2 practitioners
Practice locations: Covington, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Summit Surgery Center LLCCCN 19C0001097
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1027814Summit Surgery Center7015 Hwy 190 East Service Rd,Suite 101, Covington, LA 70433Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Locations

7015 Highway 190 East Service Rd
#101B
Covington, LA 70433
Phone (985) 893-9366

7015 Highway 190 East Service Rd
Ste 101B
Covington, LA 70433
Phone (985) 205-8850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1003842527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 HWY 190 E SERV RD",
            "address_2": "101B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334960",
            "telephone_number": "985-893-9366",
            "fax_number": "985-809-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 HWY 190 E SERV RD",
            "address_2": "101B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334960",
            "telephone_number": "985-893-9366",
            "fax_number": "985-809-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "PARR",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-809-1997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335398",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.