Active NPI
Lakeshore Surgical Associates of la
- Surgery Physician
- Covington, LA
National Provider Identifier
1154973360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- LAKESHORE SURGICAL ASSOCIATES OF LA
- Practice address
- 110 Lakeview Dr Ste 200
Covington, LA 70433-7511 - Phone
- (985) 898-0589
- NPI assigned
- Jul 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Celentano, MD
- Title
- Physician/Owner
- Phone
- (985) 898-0589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
110 Lakeview Dr Ste 200
Covington, LA 70433-7511
Mailing address
110 Lakeview Dr Ste 200
Covington, LA 70433-7511
Phone (985) 898-0589
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1154973360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LAKEVIEW DR STE 200",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337511",
"telephone_number": "985-898-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAKEVIEW DR STE 200",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337511",
"telephone_number": "985-898-0589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESHORE SURGICAL ASSOCIATES OF LA",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "CELENTANO",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "985-898-0589",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Jamey Laiche
- Stacy Laing, APRN
- Michele Marie Lajaunie, M.D.
- Lake Wellness Center, LLC
- Lakeshore Physical Therapy Contract Services, LLC
- Lakeview Cardiology Specialists, LLC
- Lakeview Medical Center, LLC (Lakeview Regional Medical Center)
- Lakeview Medical Center, LLC (Lakeview Regional Medical Center)
- Lakeview Regional Physician Group LLC
- Lakeview Trauma and Critical Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.