Crescent View Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

93 Issued in LA

Legal business name

CRESCENT VIEW SURGERY CENTER, LLC

Practice address

3434 Houma Blvd
Suite 300
Metairie, LA 70006-4200

Phone

(504) 609-2330

Fax

(504) 609-2340

NPI assigned

Apr 8, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Crescent View Surgery Center LLCCCN 19C0001131

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Anesthesiology Professional Services, Inc.

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1902856891

  Member Of

  NPD member

Locations

Practitioners 1

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

• Tarun Jolly, MD

  • Interventional Pain Medicine Physician
  • Kenner, LA
  • NPI 1275550071
  NPD (past)

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1508209743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064200",
            "telephone_number": "504-609-2330",
            "fax_number": "504-609-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064200",
            "telephone_number": "504-609-2330",
            "fax_number": "504-609-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT VIEW SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crescent City Orthopedics LLC
• Crescent City Surgical Centre Diagnostics, LLC
• Crescent City Surgical Centre Operating Company, L.L.C.
• Crescent City Surgical Centre Operating Company, L.L.C.
• Crescent Vans
• Guy Gerard Cresson, D.D.S.
• Russell Jeffrey Cresson, DDS, MS
• Creveling-Benefield LLC
• Christiane Creveling-Benefield, PH.D.
• Jake Charles Crifasi Jr., BCBA, LBA

• Ambulatory Surgical Clinic/Center in Metairie, LA
• Providers in Metairie, 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 Feb 8, 2023; 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.