Organization Active NPI

Harvard Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Metairie, LA
National Provider Identifier
1760658256
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
165 Issued in LA
Legal business name
HARVARD SURGERY CENTER LLC
Practice address
2520 Harvard Ave
Suite 2a
Metairie, LA 70001
Phone
(504) 378-3668
Fax
(504) 378-3669
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Leon Watkins, DPMNPI 1548290133
Title
Medical Director
Phone
(504) 454-3004

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
Ambulatory Surgical Clinic/Center 261QA1903X 165 LA Primary

Addresses

Primary practice location

2520 Harvard Ave
Suite 2a
Metairie, LA 70001

Mailing address

2520 Harvard Ave
Suite 2a
Metairie, LA 70001
Phone (504) 378-3668

Other identifiers 2

IdentifierTypeStateIssuer
165OtherLASTATE LICENSE
19D1091786OtherLACLIA WAIVER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000054 LA Part B Supplier - Ambulatory Surgical Center 1355407750 Practice locations: Metairie, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Harvard Surgery CenterCCN 19C0001117
Medicare certification status
ActiveFrom the Provider of Services file

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
19D1091786Harvard Surgery Center LLC2520 Harvard Avenue, Suite 2a, Metairie, LA 70001Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

2520 Harvard Ave
#2A
Metairie, LA 70001
Phone (504) 378-3668

2520 Harvard Ave
Metairie, LA 70001
Phone (504) 226-2871

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1760658256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE",
            "address_2": "SUITE 2A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-378-3668",
            "fax_number": "504-378-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE",
            "address_2": "SUITE 2A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-378-3668",
            "fax_number": "504-378-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-454-3004",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "165",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "19D1091786",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.