Organization Active NPI

Surgical Specialty Associates LLC

Doing business as Doctors Same Day Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Marrero, LA
National Provider Identifier
1558475210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
105 Issued in LA
Legal business name
SURGICAL SPECIALTY ASSOCIATES LLC
Doing business as
Doctors Same Day Surgery Center LLC
Practice address
4633 Wichers Dr
Suite 200
Marrero, LA 70072-3002
Phone
(504) 328-0000
Fax
(504) 328-9157
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tania Torres
Title
Supervisor
Phone
(504) 832-2115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 105 LA Primary

Addresses

Primary practice location

4633 Wichers Dr
Suite 200
Marrero, LA 70072-3002

Mailing address

1207 N Causeway Blvd
Metairie, LA 70001-4129
Phone (504) 832-2115

Other identifiers 1

IdentifierTypeStateIssuer
20143OtherLABLUE CROSS OF LA

Other names 1

  • Doctors Same Day Surgery Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000450 LA Part B Supplier - Ambulatory Surgical Center 5597925636 Practice locations: Marrero, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgical Specialty Associates LLCCCN 19C0001077
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1014967Doctors Same Day Surgery Center4633 Wichers Drive, Suite 200, Marrero, LA 70072Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558475210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014129",
            "telephone_number": "504-832-2115",
            "fax_number": "504-832-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WICHERS DR",
            "address_2": "SUITE 200",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723002",
            "telephone_number": "504-328-0000",
            "fax_number": "504-328-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "504-832-2115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "20143",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Same Day Surgery Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.