Southern Surgical Specialists, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

413569 Issued in LA

Legal business name

SOUTHERN SURGICAL SPECIALISTS, LLC

Practice address

1111 Medical Center Blvd
Ste 713N
Marrero, LA 70072-3151

Phone

(504) 349-6713

Fax

(504) 349-6733

NPI assigned

Jun 16, 2005

Last updated

Feb 1, 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

Dr. Robert C. Batson, M.D.NPI 1790780823

Title

Managing Partner

Phone

(504) 349-6713

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 16

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.

• Robert David Cummiskey III, MD

  • Surgery Physician
  • Marrero, LA
  • NPI 1215985213
  Medicare reassignment Care Compare group NPD
• William Stewart Steinhardt Jr., MD

  • Surgery Physician
  • Marrero, LA
  • NPI 1811286610
  Medicare reassignment Care Compare group NPD
• Charles W. Thomas, M.D.

  • Surgery Physician
  • Marrero, LA
  • NPI 1326043084
  Medicare reassignment Care Compare group NPD
• Sarah E. Baker, MD

  • Colon & Rectal Surgery Physician
  • Marrero, LA
  • NPI 1134482706
  Medicare reassignment NPD
• Robert C. Batson, M.D.

  • Vascular Surgery Physician
  • Marrero, LA
  • NPI 1790780823
  NPD (past) Authorized official
• Jayme L Boudreaux, NP

  • Family Nurse Practitioner
  • Marrero, LA
  • NPI 1598010589
  NPD
• Brian M. Bourgeois, M.D.

  • Occupational Medicine Physician
  • Gretna, LA
  • NPI 1023191244
  NPD (past)
• Ralph Larry Corsetti, M.D.

  • Surgery Physician
  • Covington, LA
  • NPI 1750341863
  NPD (past)
• James E. Craven IV, M.D.

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1518962653
  NPD (past)
• Frank Joseph Dellacroce, MD

  • Surgery Physician
  • New Orleans, LA
  • NPI 1306803416
  NPD (past)
• Michael Russo, M.D.

  • Family Medicine Physician
  • Marrero, LA
  • NPI 1194887125
  NPD (past)
• Scott Keith Sullivan Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • New Orleans, LA
  • NPI 1154344000
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1245235274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE 713N",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6713",
            "fax_number": "504-349-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE 713N",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6713",
            "fax_number": "504-349-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "504-349-6713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "413569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055743",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damien Sorapuru
• Cheryl Miller Sosa, LPN
• Rosanna Soto, M.S., CCC-SLP
• Southern Dental Care, Inc
• Southern Dental Care, LLC (Southern Dental Care)
• Spa L'Eau de Nouvelle Orleans (Spa L'eau NOLA)
• Rachel Shelea Spears, M.D.
• Sandra L Spedale, MD
• Megan Speer
• Roselyn St Etienne

• Surgery Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.