Surgical Specialty Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

80 Issued in LA

Legal business name

SURGICAL SPECIALTY CENTER, LLC

Practice address

1500 Line Ave
Suite 204
Shreveport, LA 71101-4639

Phone

(318) 629-5001

Fax

(318) 629-5020

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Kandi R Moore, RN, CNOR

Title

Administrator

Phone

(318) 631-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Michael Brandao Jr., NP

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1598891491
  NPD (past)
• David A Cavanaugh, MD

  • Neurological Surgery Physician
  • Shreveport, LA
  • NPI 1821080672
  NPD (past)
• Eubulus J Kerr III, M.D.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1730171299
  NPD (past)
• Kathleen K Majors, MD

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1407849755
  NPD (past)
• Ross B Nelson III, MD

  • Pain Medicine (Anesthesiology) Physician
  • Shreveport, LA
  • NPI 1275526592
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1316970916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "address_2": "SUITE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "address_2": "SUITE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KANDI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-631-2525",
        "authorized_official_credential": "RN, CNOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478334",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaitanya Surakanti
• Phani Surapaneni, M.D.
• Sureaccess, MD, LLC
• Surgassist of Shreveport, LLC
• Surgical Specialists of Shreveport, LLC
• Surgical Suites at the Wall Center, LLC
• Raja Suri, MD
• Fnu Surkasha, MD
• Susan E. Kemp, MD, LLC
• Susan M Seiler-Smith & Willis-Knighton Medical Center

• Ambulatory Surgical Clinic/Center in Shreveport, LA
• Providers in Shreveport, 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 Mar 31, 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.