SPECIALTY SURGICAL SERVICES LLC NPI 1548192339

NPI Information

  • NPI: 1548192339
  • Provider Name: SPECIALTY SURGICAL SERVICES, LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 11414 LAKE SHERWOOD AVE N STE B
    BATON ROUGE, LA
    ZIP 70816
  • Phone: (225) 532-4058

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NPI Details

SPECIALTY SURGICAL SERVICES, LLC is a vascular surgery surgery in Baton Rouge, LA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SPECIALTY SURGICAL SERVICES, LLC NPI is 1548192339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11414 LAKE SHERWOOD AVE N STE B
BATON ROUGE, LA
ZIP 70816-406
Phone: (225) 532-4058
Fax: (225) 659-8031

The provider's authorized official is Charles W Mock .
The authorized official title is Ceo and has the following contact phone number (225) 532-4058.

The enumeration date for this NPI number is 6/3/2026 and was last updated on 6/3/2026.

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
12086S0129XSurgeryVascular SurgeryYes

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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