NPIMap

Organization Active NPI

Ascension Surgical Associates, LLC

  • Surgery Physician
  • Gonzales, LA
National Provider Identifier
1184693582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02608 Issued in LA
Legal business name
ASCENSION SURGICAL ASSOCIATES, LLC
Practice address
1212 Riverview Blvd
Suite 3020
Gonzales, LA 70737-5023
Phone
(225) 743-2277
Fax
(225) 743-2279
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen B Manale
Title
Owner
Phone
(225) 743-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02608 LA Primary

Addresses

Primary practice location

1212 Riverview Blvd
Suite 3020
Gonzales, LA 70737-5023

Mailing address

1212 Riverview Blvd
Suite 3020
Gonzales, LA 70737-5023
Phone (225) 743-2277

Other identifiers 1

IdentifierTypeStateIssuer
1627488MedicaidLA

National Provider Directory

National Provider Directory

Locations

1014 Saint Clair Blvd
Gonzales, LA 70737
Phone (225) 743-2545

1014 Saint Clair Blvd
Ste 3020
Gonzales, LA 70737
Phone (225) 743-2277

1212 Riverview Blvd
Ste 3020
Gonzales, LA 70737
Phone (225) 743-2277

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184693582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 RIVERVIEW BLVD",
            "address_2": "SUITE 3020",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375023",
            "telephone_number": "225-743-2277",
            "fax_number": "225-743-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 RIVERVIEW BLVD",
            "address_2": "SUITE 3020",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375023",
            "telephone_number": "225-743-2277",
            "fax_number": "225-743-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-743-2277",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "02608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627488",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.