Provider Demographics
NPI:1417109000
Name:RIVER PARISH SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:RIVER PARISH SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-652-1059
Mailing Address - Street 1:501 RUE DE SANTE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-5400
Mailing Address - Country:US
Mailing Address - Phone:985-652-1059
Mailing Address - Fax:985-652-1069
Practice Address - Street 1:501 RUE DE SANTE
Practice Address - Street 2:SUITE 5
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-5400
Practice Address - Country:US
Practice Address - Phone:985-652-1059
Practice Address - Fax:985-652-1069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty