Lake Urgent Care Ascension LLC
Organization Active NPI Urgent Care Clinic/Center · Gonzales, LA
NPI 1477899656 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1477899656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- LAKE URGENT CARE ASCENSION LLC
- Practice address
- 1702 N Burnside Ave
Gonzales, LA 70737-2141 - Phone
- (225) 647-4988
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Steve Sellars
- Title
- President
- Phone
- (225) 214-9353
Other NPIs on the same Medicare enrollment 3
Member of 1
Practitioners 48
-
Kissley Booker, MSN, APRN, FNP-C
-
Nicolette Quinn Chadwell, PA-C
-
Aaron Dean Chauvin, PAC
-
Angela Howland Clark, P.A.
-
Georgia Ann Cox, P.A.
-
Michael Chafin Dugas, PA-C
-
Kathryn Felder, PA-C
-
Jennifer Jennings Gibson, APRN, FNP-C
-
Katherine Toups Guillory, PA-C
-
Tracy Thomas Gum, APRN, FNP-BC
-
Ashley M Hebert, APRN
-
Dawn Hebert, FNP
-
Jennifer Colleen Flavin Jacobs, MPAS, PA-C
-
John Knapp, M.D.
-
Jennifer Hooper Laws, FNP-C
-
Amy Kyger Markerson, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130627000023 | LA | Part B Supplier - Clinic/Group Practice | 0244479095 |
Receives reassigned benefits from 154 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gonzales, LA; Prairieville, LA; Saint Amant, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1702 N Burnside Ave
Gonzales, LA 70737-2141
Mailing address
PO Box 679641
Dallas, TX 75267-9641
Other names
- Lake Urgent Care - Gonzales
Other providers in Gonzales, LA
- Michael Lacour
- Keely Marie Ladner
- Ciji Lafargue
- Lagniappe Pharmacy
- Nicole Elizabeth Laiche
- Jesse D. Lambert
- Lamendola Dentistry
- Eva M. Lamendola
- Kayla R Lamons
- Lance E Bullock, MD, a Professional Medical Corporation
All providers in Gonzales, LA · Urgent Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.