PONTCHARTRAIN SURGERY CENTER LLC NPI 1497090740

NPI Information

  • NPI: 1497090740
  • Provider Name: PONTCHARTRAIN SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 19D1081119
  • Address: 4407 HIGHWAY 190 EAST SERVICE RD
    STE 200
    COVINGTON, LA
    ZIP 70433
  • Phone: (985) 234-9700

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NPI Details

PONTCHARTRAIN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Covington, LA. PONTCHARTRAIN SURGERY CENTER, LLC NPI is 1497090740. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4407 HIGHWAY 190 EAST SERVICE RD
STE 200
COVINGTON, LA
ZIP 70433-957
Phone: (985) 234-9700
Fax: (985) 234-9706

The provider's authorized official is Lisa Salmon .
The authorized official title is Administrator and has the following contact phone number (985) 234-9700.

The CLIA number assigned to this NPI record is 19D1081119 - 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • 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)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 11/27/2012 and was last updated on 10/28/2025.

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 Surgical157LOUISIANAYes

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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