NPIMap

Organization Active NPI

Surgery Center of West Monroe, LLC

  • Ambulatory Surgical Clinic/Center
  • West Monroe, LA
National Provider Identifier
1386793370
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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.NPI 1962473652
Title
Medical Director Owner
Phone
(318) 325-2610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 111 LA Primary

Addresses

Primary practice location

102 Regency PL
West Monroe, LA 71291-4452

Mailing address

102 Regency PL
West Monroe, LA 71291-4452
Phone (318) 322-4888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100415000076 LA Part B Supplier - Ambulatory Surgical Center 6507993045 Practice locations: West Monroe, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgery Center of West Monroe LLCCCN 19C0001080
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • 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.