Organization Active NPI

Doctors Outpatient Surgery Center LLC

Doing business as Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
National Provider Identifier
1104858513
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2203783255 Issued in LA
Legal business name
DOCTORS OUTPATIENT SURGERY CENTER LLC
Doing business as
Surgery Center
Practice address
1101 S College Rd
Suite 100
Lafayette, LA 70503-3038
Phone
(337) 233-8603
Fax
(337) 234-0341
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Kim G Porche
Title
Business Office Manager
Phone
(337) 233-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2203783255 LA Primary

Addresses

Primary practice location

1101 S College Rd
Suite 100
Lafayette, LA 70503-3038

Mailing address

1101 S College Rd
Suite 100
Lafayette, LA 70503-3038
Phone (337) 233-8603

Other identifiers 1

IdentifierTypeStateIssuer
1356417MedicaidLA

Other names 1

  • SURGERY CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105002247 LA Part B Supplier - Ambulatory Surgical Center 9234209107 Practice locations: Lafayette, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Doctors Outpatient Surgery CenterCCN 19C0001009
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
19D2108965Surgery Center1101 South College Road, Suite 100, Lafayette, LA 70503Certificate of waiverFeb 16, 2028

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1104858513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033038",
            "telephone_number": "337-233-8603",
            "fax_number": "337-234-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033038",
            "telephone_number": "337-233-8603",
            "fax_number": "337-234-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "PORCHE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "337-233-8603"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "2203783255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356417",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.