LGH Surgical Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LGH SURGICAL CLINIC

Practice address

411 E Vaughn Ave
Suite 200
Ruston, LA 71270-5972

Phone

(318) 255-1212

Fax

(318) 513-1599

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas J Stone

Title

Ceo

Phone

(318) 254-2450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lincoln Surgical Associates Doing business as

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629016191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 200",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-1212",
            "fax_number": "318-513-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 200",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-1212",
            "fax_number": "318-513-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGH SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-254-2450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449202",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsy Lewis, CIT
• Jan E. Lewis, P.T.
• LGH OB-GYN Clinic
• LGH OB-GYN Clinic 2
• LGH Oncology Clinic
• Lifecare Specialty Hospital of North Louisiana LLC
• Barrett Linam, LCSW, PHD
• Lincare Inc.
• Lincoln Counseling
• Lincoln Family Health Clinic, LLC

• Surgery Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Surgery Physician in Louisiana

• 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.