NPIMap

Organization Active NPI

Zachary ASC Partners, LLC

  • Ambulatory Surgical Clinic/Center
  • Zachary, LA
National Provider Identifier
1356646715
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
MD021383 Issued in LA
Legal business name
ZACHARY ASC PARTNERS, LLC
Practice address
6550 Main St Ste 2600
Zachary, LA 70791-4092
Phone
(225) 570-2804
Fax
(225) 654-0791
NPI assigned
Jan 17, 2011
Last updated
Jan 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Dr. Baron J Williamson, M. D.NPI 1336145606
Title
Owner
Phone
(225) 570-2807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MD021383 LA Primary

Addresses

Primary practice location

6550 Main St Ste 2600
Zachary, LA 70791-4092

Mailing address

2421 Church St
Zachary, LA 70791-2710
Phone (225) 570-2804

Other names 1

  • Zachary ASC Partners, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000465 LA Part B Supplier - Ambulatory Surgical Center 2264614106 Practice locations: Zachary, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Zachary ASC Partners LLCCCN 19C0001125
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

Practitioners & affiliated clinicians

Practitioners 105

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.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1356646715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-570-2804",
            "fax_number": "225-654-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 2600",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-570-2804",
            "fax_number": "225-654-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY ASC PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-570-2807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "MD021383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zachary ASC Partners, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.