Thibodaux Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

151 Issued in LA

Legal business name

THIBODAUX SURGERY CENTER, LLC

Doing business as

Bayou Region Surgical Center

Practice address

604 N Acadia Rd
Suite 300
Thibodaux, LA 70301-4847

Phone

(985) 449-1244

Fax

(985) 449-1242

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry Gerard Landry, MD

Title

President

Phone

(985) 446-1763

Specialties & licenses 1

Addresses

Other names 1

• Bayou Region Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Bayou Region Surgical CenterCCN 19C0001110

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.

• David Wadie Elias, M.D.

  • Orthopaedic Surgery Physician
  • Thibodaux, LA
  • NPI 1821049743
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1801949631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 300",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014847",
            "telephone_number": "985-449-1244",
            "fax_number": "985-449-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD",
            "address_2": "SUITE 300",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014847",
            "telephone_number": "985-449-1244",
            "fax_number": "985-449-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-446-1763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayou Region Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thibodaux Regional Network Development Corporation (Thibodaux Regional Weight Management Center)
• Thibodaux Regional Network Development Corporation (Thibodaux Regional Heart & Vascular Surgery Clinic)
• Thibodaux Regional Network Development Corporation (Thibodaux Regional Wound Care & Limb Preservation Center)
• Thibodaux Regional Network Development Corporation (Thibodaux Regional Cancer Institute)
• Thibodaux Regional Urgent Care LLC
• Thibodaux Surgical Specialists
• Thibodaux Urgent Care, LLC
• Thibodaux Vision Center Inc
• Thibodaux Women's Center
• Aggie Thibodaux

• Ambulatory Surgical Clinic/Center in Thibodaux, LA
• Providers in Thibodaux, 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 Apr 6, 2010; 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.