Selim Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MD207592 Issued in LA

Legal business name

SELIM SURGERY CENTER, LLC

Practice address

215 W Prien Lake Rd
Suite B
Lake Charles, LA 70601

Phone

(337) 502-8706

Fax

(337) 210-1271

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Niazy Mahmoud Selim, MD, PHD, FACSNPI 1689789083

Title

President/Ceo

Phone

(337) 502-8706

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niazy Mahmoud Selim, MD, PHD, MBCHB, FACS

  • Surgery Physician
  • Lake Charles, LA
  • NPI 1689789083
  NPD Authorized official

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1407338338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018450",
            "telephone_number": "337-502-8706",
            "fax_number": "337-210-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W PRIEN LAKE RD",
            "address_2": "SUITE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-502-8706",
            "fax_number": "337-210-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELIM SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SELIM",
        "authorized_official_first_name": "NIAZY",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "337-502-8706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD, FACS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "MD207592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2388533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Segura, APRN, NP
• Julie Anne Selby, LPC
• Robert L Selders Sr., DDS
• Self-Ish, LLC
• Catherine Drez Self, CCC-A
• Niazy Mahmoud Selim, MD, PHD, MBCHB, FACS
• John Selloriquez
• Angela Semien
• Brandy Laurice Semien, FNP
• Joseph Wayne Semien II, M.D.

• Ambulatory Surgical Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, 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 Jul 3, 2024; 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.