Southern Surgical Services, L.L.C.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

140601 Issued in LA

Legal business name

SOUTHERN SURGICAL SERVICES, L.L.C.

Practice address

203 Pendleton Dr
Houma, LA 70360-3929

Phone

(985) 805-0921

NPI assigned

May 26, 2015

Last updated

Oct 6, 2015By 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

Kelsey Eschette, CST/CSFANPI 1245627959

Title

Certified Surgical First Assistant

Phone

(985) 805-0921

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kelsey Eschette, CST,CSFA

  • Surgical Physician Assistant
  • Houma, LA
  • NPI 1245627959
  NPD (past) Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1265811087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PENDLETON DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PENDLETON DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603929",
            "telephone_number": "985-805-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SURGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "ESCHETTE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "985-805-0921",
        "authorized_official_credential": "CST/CSFA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "140601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark E Spence, CRNA
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• Point of Service in Houma, LA
• Providers in Houma, LA by specialty
• Point of Service in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.