Northshore Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHSHORE AMBULATORY SURGERY CENTER LLC

Practice address

17174 S I-12 Service Rd
Hammond, LA 70403

Phone

(985) 375-1120

Fax

(985) 542-0733

NPI assigned

Jun 27, 2008

Last updated

Apr 27, 2020By 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

Eric D Griener, MDNPI 1992753545

Title

Owner

Phone

(985) 375-1120

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Northshore Ambulatory Surgery Center LLCCCN 19C0001122

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

Practitioners 3

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.

• Thomas C Stuckey, III, M.D.

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1437177300
  Medicare reassignment NPD
• Eric Damian Griener, M.D.

  • Ophthalmology Physician
  • Hammond, LA
  • NPI 1992753545
  NPD Authorized official
• Stephen Vincent Lau

  • Ophthalmology Physician
  • Hammond, LA
  • NPI 1245751098
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1821250176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 MONROE ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484936",
            "telephone_number": "985-375-1111",
            "fax_number": "985-542-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17174 S I-12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-375-1120",
            "fax_number": "985-542-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "GRIENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-375-1120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northlake Rheumatology, Pmllc
• Northland Hearing Centers Inc (Sears Hearing Aid Centers)
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northshore Anesthesia, LLC
• Northshore Counseling Group LLC
• Northshore ENT Clinic, LLC
• Northshore Eye Associates LLC
• Northshore Hospital Medicine LLC

• Ambulatory Surgical Clinic/Center in Hammond, LA
• Providers in Hammond, 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 27, 2020; 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.