Surgery Center of West Monroe, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

111 Issued in LA

Legal business name

SURGERY CENTER OF WEST MONROE, LLC

Practice address

102 Regency PL
West Monroe, LA 71291-4452

Phone

(318) 322-4888

Fax

(318) 325-2610

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond E Haik Jr., M.D.

Title

Medical Director Owner

Phone

(318) 325-2610

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Surgery Center of West Monroe LLCCCN 19C0001080

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Surgery Center of West Monroe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Surgery Center of West Monroe

  • Ambulatory Surgical Clinic/Center
  • West Monroe, LA
  • NPI 1891962833
  NPD tax ID
• Surgery Center of West Monroe

  • Certified Registered Nurse Anesthetist
  • West Monroe, LA
  • NPI 1952582173
  NPD tax ID

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1386793370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 REGENCY PL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914452",
            "telephone_number": "318-322-4888",
            "fax_number": "318-325-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 REGENCY PL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914452",
            "telephone_number": "318-322-4888",
            "fax_number": "318-325-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF WEST MONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "HAIK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OWNER",
        "authorized_official_telephone_number": "318-325-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005527",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125229",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlena Sullivan, MD
• Chad Summers
• Suresteps4U, LLC
• Surgery Center of West Monroe
• Surgery Center of West Monroe
• Mackenzie Swain
• Richard Louis Sylvester Jr., PHD, MP, MPAP
• Synergy Home Care-Northeastern Region Inc
• Synergy Laboratory Services of Louisiana
• T & L Shows Enterprises, L.L.C.

• Ambulatory Surgical Clinic/Center in West Monroe, LA
• Providers in West Monroe, 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 May 6, 2008; 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.