Organization Active NPI

Louisiana Laparoendoscopic Surgical Clinic Inc

  • Specialist
  • Alexandria, LA
National Provider Identifier
1679798615
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020067 Issued in LA
Legal business name
LOUISIANA LAPAROENDOSCOPIC SURGICAL CLINIC INC
Practice address
301 4TH St
Alexandria, LA 71301-8423
Phone
(318) 448-1040
Fax
(318) 448-0548
NPI assigned
Apr 16, 2007
Last updated
Jun 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Richard F. Norem II, M.D.NPI 1659376895
Title
President
Phone
(318) 448-1040

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 020067 LA Primary

Addresses

Primary practice location

301 4TH St
Alexandria, LA 71301-8423

Mailing address

301 4TH St
PO Box 30148
Alexandria, LA 71301-8423
Phone (318) 448-1040

Other identifiers 1

IdentifierTypeStateIssuer
1988782MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000593 LA Part B Supplier - Clinic/Group Practice 3779742564 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

301 4th St
Ste 30148
Alexandria, LA 71301
Phone (318) 448-1040

Practitioners & affiliated clinicians

Practitioners 2

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1679798615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 4TH ST",
            "address_2": "PO BOX 30148",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018423",
            "telephone_number": "318-448-1040",
            "fax_number": "318-448-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018423",
            "telephone_number": "318-448-1040",
            "fax_number": "318-448-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA LAPAROENDOSCOPIC SURGICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "NOREM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-448-1040",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "020067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1988782",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.