Provider Demographics
NPI:1750469789
Name:ORTHOPEDIC SURGERY CENTER LLC
Entity Type:Organization
Organization Name:ORTHOPEDIC SURGERY CENTER LLC
Other - Org Name:ORTHOPEDIC SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-763-6022
Mailing Address - Street 1:7301 HENNESSY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4384
Mailing Address - Country:US
Mailing Address - Phone:225-763-6022
Mailing Address - Fax:225-763-6163
Practice Address - Street 1:7301 HENNESSY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70898
Practice Address - Country:US
Practice Address - Phone:225-763-6011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA144261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA190020452ZOtherBLUE CROSS
LA11106Medicare PIN