Organization Active NPI

Christopher L. Surek, D.O. Apmc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Zachary, LA
National Provider Identifier
1750581880
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
DO000011 Issued in LA
Legal business name
CHRISTOPHER L. SUREK, D.O. APMC
Practice address
6110 Main St
Suite D
Zachary, LA 70791-4033
Phone
(225) 658-1960
Fax
(225) 658-1920
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Christopher Lee Surek, D.O.
Title
Owner
Phone
(225) 658-1960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X DO000011 LA Primary

Addresses

Primary practice location

6110 Main St
Suite D
Zachary, LA 70791-4033

Mailing address

6110 Main St
Suite D
Zachary, LA 70791-4033
Phone (225) 658-1960

Other identifiers 3

IdentifierTypeStateIssuer
1750581880OtherLAGROUP NPI
1336119858OtherLAINDIVIDUAL NPI
1625965MedicaidLA

National Provider Directory

National Provider Directory

Locations

6110 Main St
Ste D
Zachary, LA 70791
Phone (225) 286-4032

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1750581880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 MAIN ST",
            "address_2": "SUITE D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914033",
            "telephone_number": "225-658-1960",
            "fax_number": "225-658-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MAIN ST",
            "address_2": "SUITE D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914033",
            "telephone_number": "225-658-1960",
            "fax_number": "225-658-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER L. SUREK, D.O. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "SUREK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-658-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "LA",
            "license": "DO000011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1750581880",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336119858",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625965",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.