Organization Active NPI

Advanced Surgical Concepts LLC

  • Ambulatory Surgical Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1053453134
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
131 Issued in LA
Legal business name
ADVANCED SURGICAL CONCEPTS LLC
Practice address
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2975
Phone
(225) 368-2330
Fax
(225) 368-2275
NPI assigned
Feb 13, 2007
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Teresa Danna
Title
Authorized Oficial
Phone
(972) 763-3890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 131 LA Primary

Addresses

Primary practice location

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2975

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (225) 368-2322

Other identifiers 4

IdentifierTypeStateIssuer
1507245MedicaidLA
P00147168OtherRAILROAD MEDICARE/SRRGA
1053453134OtherLANPI
131OtherLASTATE LICENSE

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1053453134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "225-368-2322",
            "fax_number": "225-368-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092975",
            "telephone_number": "225-368-2330",
            "fax_number": "225-368-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "DANNA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "AUTHORIZED OFICIAL",
        "authorized_official_telephone_number": "972-763-3890"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507245",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/SRRGA",
            "identifier": "P00147168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053453134",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "131",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.