Pontchartrain Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING

Legal business name

PONTCHARTRAIN SURGERY CENTER LLC

Practice address

4407 Hwy 190 Service Rd, East
Ste. 200
Covington, LA 70433

Phone

(985) 234-9700

Fax

(985) 234-9700

NPI assigned

Dec 3, 2007

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peggy C. Saxon

Title

Administrator

Phone

(985) 234-9700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123

  Member Of

  NPD member

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1184806028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 HWY 190 SERVICE RD, EAST",
            "address_2": "STE. 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-234-9700",
            "fax_number": "985-234-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 HWY 190 SERVICE RD, EAST",
            "address_2": "STE. 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-234-9700",
            "fax_number": "985-234-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SAXON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-234-9700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pontchartrain Cancer Center
• Pontchartrain Diagnostic Imaging LLC
• Pontchartrain Pediatrics LLC
• Pontchartrain Psychological Resources, LLC
• Pontchartrain Sleep Medicine, LLC
• Pontchartrain Surgery Center, LLC (Our Lady of the Lake Pontchartrain Surgery Center)
• Christen Leeann Pontius, DPT
• Donald Martin Ponzo Jr., PT, DPT
• Ashlee L Poolson, PHARMD, RPH
• Mary Catherine Porch, A.P.R.N.

• Ambulatory Surgical Clinic/Center in Covington, LA
• Providers in Covington, 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 Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.