Provider Demographics
NPI:1093897225
Name:FIRST CHOICE SURGERY CENTER OF BATON ROUGE, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE SURGERY CENTER OF BATON ROUGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:E
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-201-0950
Mailing Address - Street 1:505 E AIRPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6515
Mailing Address - Country:US
Mailing Address - Phone:225-201-0950
Mailing Address - Fax:225-923-3488
Practice Address - Street 1:505 E AIRPORT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6515
Practice Address - Country:US
Practice Address - Phone:225-201-0950
Practice Address - Fax:225-923-3488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA19-C0001086261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04605094Medicaid
LA1175617Medicaid
MS04605094Medicaid
LAX15918Medicare UPIN
LA1175617Medicaid