Surgical Associates, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

09589R Issued in LA

Legal business name

SURGICAL ASSOCIATES, LLC

Practice address

3900 Veterans Memorial Blvd
Suite 200
Metairie, LA 70002-5634

Phone

(504) 455-1000

Fax

(504) 455-1555

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ruth M Owens

Title

Manager

Phone

(504) 455-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• David A Jansen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Metairie, LA
  • NPI 1316042856
  Medicare reassignment NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1932270733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025634",
            "telephone_number": "504-455-1000",
            "fax_number": "504-455-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025634",
            "telephone_number": "504-455-1000",
            "fax_number": "504-455-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-455-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "09589R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION ID",
            "identifier": "34865486K",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supreme Care LLC.
• Supreme Care LLC.
• Supreme Care LLC.
• Andree T Surcouf
• Surgery Center LLC Nola
• Surgical Consultants, LLC
• Surgical Reconstructive Services
• Surgical Specialists of la
• Kirmisha Rheadell Surrell
• Rachana N. Sus, M.D.

• Plastic and Reconstructive Surgery Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.