Organization Active NPI

Lakeshore Surgical Associates of la

  • Surgery Physician
  • Covington, LA
National Provider Identifier
1154973360
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Jul 9, 2019

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.