Northshore Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

141 Issued in LA

Legal business name

NORTHSHORE SURGICAL CENTER, LLC

Practice address

71207 Highway 21 Ste B
Covington, LA 70433-7121

Phone

(985) 867-5310

Fax

(985) 867-5243

NPI assigned

Nov 17, 2006

Last updated

Aug 6, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

APEX GROUP HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Vijay Purohit

Title

President

Phone

(407) 284-1451

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Northshore Surgical Center LLCCCN 19C0001104

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Joshua Pierce Sleeper, MD

  • Urology Physician
  • Covington, LA
  • NPI 1285834234
  Medicare reassignment NPD
• Sunil K Purohit, MD

  • Urology Physician
  • Covington, LA
  • NPI 1578637021
  NPD (past)
• Vijay Singh, M.D.

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1669534020
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1376616060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "985-867-5310",
            "fax_number": "985-867-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71207 HIGHWAY 21 STE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337121",
            "telephone_number": "985-867-5310",
            "fax_number": "985-867-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SURGICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APEX GROUP HOLDINGS, LLC",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "PUROHIT",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-284-1451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1097870",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northshore Kids Therapy
• Northshore Oncology Associates, LLC
• Northshore Oncology Associates, LLC
• Northshore Psychiatric Care (James Sholtz)
• Northshore Rheumatology, L.L.C.
• Northshore Surgical Specialists LLC
• Nrlcl II
• Kelly Null, PHARMD.
• Catherine Ann Nungesser
• Melanie Nuss, APRN

• Ambulatory Surgical Clinic/Center in Covington, LA
• Providers in Covington, 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 Aug 6, 2015; 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.