DOCTORS OUTPATIENT SURGERY CENTER LLC NPI 1104858513

NPI Information

  • NPI: 1104858513
  • Provider Name: DOCTORS OUTPATIENT SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SURGERY CENTER
  • CLIA Number: 19D2108965
  • Address: 1101 S COLLEGE RD
    SUITE 100
    LAFAYETTE, LA
    ZIP 70503
  • Phone: (337) 233-8603

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NPI Details

DOCTORS OUTPATIENT SURGERY CENTER LLC is an ambulatory surgical clinic center in Lafayette, LA. DOCTORS OUTPATIENT SURGERY CENTER LLC NPI is 1104858513. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center.

The provider's business location address is:

1101 S COLLEGE RD
SUITE 100
LAFAYETTE, LA
ZIP 70503-038
Phone: (337) 233-8603
Fax: (337) 234-0341

The provider's authorized official is Kim G Porche .
The authorized official title is Business Office Manager and has the following contact phone number (337) 233-8603.

The CLIA number assigned to this NPI record is 19D2108965 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
  • Placement of stabilizing device to lower spine level (HCPCS:22869)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 12/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical2203783255LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356417MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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