Lake Surgical Hospital Slidell, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

LAKE SURGICAL HOSPITAL SLIDELL, LLC

Doing business as

Our Lady of the Lake Surgical Hospital

Practice address

1810 Lindberg Dr Ste 1400
Slidell, LA 70458-8158

Phone

(985) 641-0600

Fax

(844) 269-8002

NPI assigned

Aug 31, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKE SURGICAL HOSPITAL SLIDELL LLCAs reported in NPPES

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

Authorized official

Name

Michael Pisciotta

Title

Ceo

Phone

(985) 641-0600

Specialties & licenses 1

Addresses

Other names 1

• Our Lady of the Lake Surgical Hospital Doing business as

Part of

Lake Surgical Hospital Slidell LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lake Surgical Hospital Slidell, LLC

  dba Southern Surgical Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1821465576
  NPPES parent name

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1396520862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588062",
            "telephone_number": "985-641-0600",
            "fax_number": "844-269-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LINDBERG DR STE 1400",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588158",
            "telephone_number": "985-641-0600",
            "fax_number": "844-269-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SURGICAL HOSPITAL SLIDELL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE SURGICAL HOSPITAL SLIDELL LLC",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "PISCIOTTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-641-0600"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Lady of the Lake Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ladner, ACNPC-AG
• Lisa Laferrara, B.S., M.S.
• Raynita Marie Lagard, B.S.
• Latoya Lagarde, FNP
• Leanne Marie Lain, DPT
• Lake Surgical Hospital Slidell, LLC (Southern Surgical Hospital)
• Lakeland Healthcare Home & Community Based Waver
• Lakeshore Family Dentistry Inc
• Lakeshore Manor Nursing and Rehab LLC (Trinity Neurologic Rehabilitation Center)
• James Lam, MD

• General Acute Care Hospital in Slidell, LA
• Providers in Slidell, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.