Lake End Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

201984 Issued in LA

Legal business name

LAKE END SURGERY LLC

Practice address

1300 Lakewood Dr
Suite a
Morgan City, LA 70380-1866

Phone

(985) 384-0897

Fax

(985) 384-0899

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Nwosu O Ngofa, MD

Title

Physician

Phone

(985) 384-0897

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1316106628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703811898",
            "telephone_number": "985-384-0897",
            "fax_number": "985-384-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LAKEWOOD DR",
            "address_2": "SUITE A",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801866",
            "telephone_number": "985-384-0897",
            "fax_number": "985-384-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE END SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "NGOFA",
        "authorized_official_first_name": "NWOSU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-384-0897",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "201984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.