Organization Active NPI

Segura Wellness, LLC

Doing business as Segura Neuroscience & Pain Center

  • Interventional Pain Medicine Physician
  • Covington, LA
National Provider Identifier
1619417607
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD.200721 Issued in LA
Legal business name
SEGURA WELLNESS, LLC
Doing business as
Segura Neuroscience & Pain Center
Practice address
141 Lakeview Circle
Covington, LA 70433
Phone
(985) 231-6751
Fax
(985) 888-1838
NPI assigned
Feb 24, 2017
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Ronald C Segura, MDNPI 1467619254
Title
Owner / Physician
Phone
(985) 231-6751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X MD.200721 LA Primary

Addresses

Primary practice location

141 Lakeview Circle
Covington, LA 70433

Mailing address

141 Lakeview Circle
Covington, LA 70433
Phone (985) 231-6751

Other identifiers 1

IdentifierTypeStateIssuer
1467619254OtherLAPERSONAL NPI

Other names 1

  • Segura Neuroscience & Pain Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170420000540 LA Part B Supplier - Clinic/Group Practice 4789960196 Receives reassigned benefits from 6 practitioners
Practice locations: Covington, LA
O20241023001784 LA DME Supplier - Physician - Interventional Pain Management 4789960196 Practice locations: Covington, LA

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
19D2126702Segura Neuroscience & Pain Center141 Lakeview Circle, Covington, LA 70433Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Locations

7039 Highway 190 East Service Rd
Ste C
Covington, LA 70433
Phone (985) 231-6751

7039 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 231-6751

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1619417607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LAKEVIEW CIRCLE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-231-6751",
            "fax_number": "985-888-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LAKEVIEW CIRCLE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-231-6751",
            "fax_number": "985-888-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGURA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "985-231-6751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "MD.200721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1467619254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Segura Neuroscience & Pain Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Segura Neuroscience & Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.