SCB Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCB SURGERY CENTER LLC

Doing business as

Louisiana Surgery Center

Practice address

2480 Hwy 33
Ruston, LA 71270-2468

Phone

(318) 224-2404

Fax

(318) 224-4402

NPI assigned

Dec 14, 2023

Last updated

Feb 17, 2025By 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

Mr. John Calhoun Moak III, RN

Title

Clinical Director

Phone

(318) 278-1955

Specialties & licenses 2

Addresses

Other names 1

• Louisiana Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

SCB Surgery Center LLC Dba Lousiana Surgery CenterCCN 19C0001153

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.

• Cameron M Best, M.D.

  • Orthopaedic Hand Surgery Physician
  • Monroe, LA
  • NPI 1912160748

  Orthopaedic Surgery

  NPD
• Kristopher Charles Sirmon, M.D.

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1295976280
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1932977360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 HIGHWAY 33",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705093",
            "telephone_number": "318-224-2404",
            "fax_number": "318-224-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 HWY 33",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702468",
            "telephone_number": "318-224-2404",
            "fax_number": "318-224-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCB SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "MOAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CALHOUN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "318-278-1955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Bernard Sanders, PHD, LAC
• William P Sanders, MD
• Jennifer Sanderson, COTA
• Joseph Dylan Sanson, PHARMD
• Sally Sartor, M.D.
• David Lynn Scheaffer, MHS
• Brittney Scott
• Emmanuel Seals
• Seasons Medical Aesthetics
• Seasons Primary Care

• Ambulatory Surgical Clinic/Center in Ruston, LA
• Providers in Ruston, 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 Feb 17, 2025; 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.