Jefferson Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

139 Issued in LA

Legal business name

JEFFERSON AMBULATORY SURGERY CENTER LLC

Practice address

2701 Lake Villa Dr
Metairie, LA 70002-6714

Phone

(504) 274-3100

Fax

(504) 274-3199

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tania Torres

Title

Business Office Manager

Phone

(504) 832-2115

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Jefferson Ambulatory Surgery Center LLCCCN 19C0001103

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

Locations

Practitioners 1

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

• Alexis M Waguespack, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Gretna, LA
  • NPI 1457388035
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669586376",
    "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": "2701 LAKE VILLA DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026714",
            "telephone_number": "504-274-3100",
            "fax_number": "504-274-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "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": "139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "20373",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Grenier Jeanfreau, M.D.
• Wallace Jeanfreau Jr., M.D.
• Shavon Jeanpierre
• Gabrielle Jeansonne I
• Jeffcare
• Jefferson Headache and Spine,L.L.C.
• Jefferson Medical Group, LLC
• Jefferson Neurological Associates, Apmc
• Jefferson OB GYN Associates
• Jefferson Orthopedics Inc

• 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 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.