Ambulatory Surgery Center of Opelousas

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

114 Issued in LA

Legal business name

AMBULATORY SURGERY CENTER OF OPELOUSAS

Practice address

187 Ventre Blvd
Opelousas, LA 70570-9145

Phone

(337) 407-0050

Fax

(337) 407-0073

NPI assigned

Aug 19, 2006

Last updated

Mar 27, 2012By the provider in NPPES

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

Supervisor

Phone

(504) 832-2115

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Ambulatory Surgery Center of OpelousasCCN 19C0001083

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 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.

• Gary L Porubsky, MD

  • Orthopaedic Hand Surgery Physician
  • Opelousas, LA
  • NPI 1841221553
  NPD (past)
• E. Karl Ventre III, M.D.

  • Anesthesiology Physician
  • Opelousas, LA
  • NPI 1194729640
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1811001548",
    "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": "187 VENTRE BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705709145",
            "telephone_number": "337-407-0050",
            "fax_number": "337-407-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER OF OPELOUSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "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": "114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "11083",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148199",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "190020205Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Kids Pediatrics of Opelousas
• Allen Medical Supply, Inc
• Allen Sisters Transportation LLC
• John T Allgood Jr., PA-C
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 (Moreau Physical Therapy)
• Allison Anne Amy, RN
• Eric Amy, M.D.
• Calandra Nashira Anderson
• Christy Anderson
• Dianne Anderson

• Ambulatory Surgical Clinic/Center in Opelousas, LA
• Providers in Opelousas, 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 Mar 27, 2012; 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.