Associated Surgical Specialists, L.L.C.
Organization Active NPI Specialist · Covington, LA
NPI 1831397439 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1831397439
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ASSOCIATED SURGICAL SPECIALISTS, L.L.C.
- Practice address
- 350 Lakeview CT
Suite a
Covington, LA 70433-7514 - Phone
- (985) 845-2677
- Fax
- (985) 867-5498
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John C Beatrous, M.D.
- Title
- Physician
- Phone
- (985) 845-2677
Practitioners 8
-
Virginia Marie Plauche, M.D.
-
John C Beatrous, M.D.
-
Richard Graham Boyce, M.D.
-
Kevin Earl McLaughlin, M.D.
-
James L Bradford Jr., M.D.
-
Clifton O Istre, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070822000572 | LA | Part B Supplier - Clinic/Group Practice | 2365534328 |
Receives reassigned benefits from 5 practitioners Practice locations: Covington, LA |
National Provider Directory
Locations
67250 Industry Ln
Covington, LA 70433
Phone (985) 809-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes | ||
| Otolaryngology/Facial Plastic Surgery Physician |
207YX0905X |
Addresses
Primary practice location
350 Lakeview CT
Suite a
Covington, LA 70433-7514
Mailing address
350 Lakeview CT
Suite a
Covington, LA 70433-7514
Phone (985) 845-2677
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.