Active NPI
St James Parish Hosp Serv Dist
Doing business as St James Surgical Specialists
- Surgery Physician
- Lutcher, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ST JAMES PARISH HOSP SERV DIST
- Doing business as
- St James Surgical Specialists
- Practice address
- 1645 Lutcher Ave
Lutcher, LA 70071-5150 - Phone
- (225) 258-2080
- Fax
- (225) 258-2081
- NPI assigned
- May 16, 2014
- Last updated
- May 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ellen G Pratt
- Title
- Ceo
- Phone
- (225) 258-5990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1645 Lutcher Ave
Lutcher, LA 70071-5150
Mailing address
1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 258-2080
Other names 1
- ST JAMES SURGICAL SPECIALISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000748 | LA | Part B Supplier - Clinic/Group Practice | 3476459850 |
Receives reassigned benefits from 13 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lutcher, LA; Vacherie, LA |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba SJPH Physician Clinics
- Rural Health Clinic/Center
- Vacherie, LA
- NPI 1518364801
O20031208000748
-
dba SJPH Physician Clinics
- Urology Physician
- Lutcher, LA
- NPI 1790183820
O20031208000748
-
dba St James Urgent Care
- Urgent Care Clinic/Center
- Lutcher, LA
- NPI 1952767840
O20031208000748
-
- Critical Access Hospital
- Lutcher, LA
- NPI 1295868065
O20031208000748
-
- Critical Access Hospital
- Lutcher, LA
- NPI 1588654966
O20031208000748
National Provider Directory
National Provider DirectoryLocations
1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Lutcher, LA
- NPI 1821098450
-
- Surgery Physician
- Lutcher, LA
- NPI 1730116716
-
- General Practice Physician
- Marrero, LA
- NPI 1700079084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494201600000",
"number": "1457762056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 LUTCHER AVE",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715150",
"telephone_number": "225-258-2080",
"fax_number": "225-258-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 LUTCHER AVE",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715150",
"telephone_number": "225-258-2080",
"fax_number": "225-258-2081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JAMES PARISH HOSP SERV DIST",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-16",
"last_updated": "2017-05-08",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "MARY ELLEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-258-5990"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ST JAMES SURGICAL SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutcher, LA
- Kelly Bourgeois Roussel, M.S., SLP
- Crystal Ann Rowell, NP
- Rpe,Inc (River Parishes Eyecare)
- Blaze Schifferstein
- Shelika Scott
- St James Parish Hosp Serv Dist (SJPH Physician Clinics)
- St James Parish School Board
- St. James Homecare, LLC
- St. James Parish Hosp Serv Dist (Poche' Medical Clinic)
- St. James Parish Hosp Serv Dist (St James Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.