Surgical Clinic of Louisiana LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

436248 Issued in LA

Legal business name

SURGICAL CLINIC OF LOUISIANA LLC

Practice address

1111 Medical Center Blvd
South 860
Marrero, LA 70072-3151

Phone

(504) 349-6860

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David C Treen Jr., M.D.

Title

Ceo

Phone

(504) 349-6860

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1386664225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SOUTH 860",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SOUTH 860",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CLINIC OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "TREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-349-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "436248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440582",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Stylman, PA-C
• Holly M Sullivan
• Sandra Exnicious Sumler, MSW
• Vicki Summerville
• Superior Medicine Group LLC (Westbank Medical & Walk-in Clinic)
• Surgical Specialty Associates LLC (Doctors Same Day Surgery Center LLC)
• Myliah O Surratt
• Jesse Dean Sutton, L.C.S.W.
• Kellee R. Swider, P.A.
• Angel Haley Sylve, DDS

• Surgery Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.