SLSC Medical Staff

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SLSC MEDICAL STAFF

Practice address

8711 Line Ave
Shreveport, LA 71106-6813

Phone

(318) 841-4486

Fax

(318) 841-4489

NPI assigned

Feb 26, 2013

Organization subpart

Yes

Parent organization

SPRING LAKE SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Kenneth W Sanders, MD

Title

Owner

Phone

(318) 841-4486

Specialties & licenses 1

Addresses

Part of

Spring Lake Surgery Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Spring Lake Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Shreveport, LA
  • NPI 1457395493
  NPPES parent name

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1174863336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066813",
            "telephone_number": "318-698-8711",
            "fax_number": "318-841-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066813",
            "telephone_number": "318-841-4486",
            "fax_number": "318-841-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLSC MEDICAL STAFF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING LAKE SURGERY CENTER, LLC",
        "enumeration_date": "2013-02-26",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-841-4486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Sloan, LPC
• Jemma Guidry Sloan, RDN
• Nekeshia J Sloan, M.A.
• Milton Slocum, M.D.
• Rebecca Slocum
• Nicholas James Slusher, MD
• James William Small, M.D.
• Niya Small
• Satonia Small
• Sofia Natalia Small, LCSW

• Ambulatory Surgical Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.