NPIMap

Organization Active NPI

Riverside Surgical Associates, LLC

  • Surgery Physician
  • Laplace, LA
National Provider Identifier
1609090927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15420R Issued in LA
Legal business name
RIVERSIDE SURGICAL ASSOCIATES, LLC
Practice address
501 Rue de Sante
Suite 2
Laplace, LA 70068-5400
Phone
(985) 652-7880
Fax
(985) 652-7883
NPI assigned
Apr 11, 2007
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
Dr. Bradford R Thompson, MD
Title
Manager
Phone
(985) 652-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 15420R LA Primary

Addresses

Primary practice location

501 Rue de Sante
Suite 2
Laplace, LA 70068-5400

Mailing address

501 Rue de Sante
Suite 2
Laplace, LA 70068-5400
Phone (985) 652-7880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609090927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RUE DE SANTE",
            "address_2": "SUITE 2",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "700685400",
            "telephone_number": "985-652-7880",
            "fax_number": "985-652-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RUE DE SANTE",
            "address_2": "SUITE 2",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "700685400",
            "telephone_number": "985-652-7880",
            "fax_number": "985-652-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-652-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "15420R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laplace, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.