PARK PLACE SURGERY CENTER, LLC
PARK PLACE SURGICAL HOSPITAL · General Acute Care Hospital

Address: 4811 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-6917

PARK PLACE SURGERY CENTER, LLC (NPI# 1215996632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215996632
Entity Type Organization
Organization Name PARK PLACE SURGERY CENTER, LLC
Other Organization Name PARK PLACE SURGICAL HOSPITAL (Other Name)
Practice Address 4811 Ambassador Caffery Pkwy
Suite 100
Lafayette
LA 70508-6917
Practice Telephone 3372378119
Mailing Address 4811 Ambassador Caffery Pkwy
Suite 100
Lafayette
LA 70508-6917
Mailing Telephone 3372378119
Enumeration Date 2006-03-23
Last Update Date 2014-07-21
Authorized Official Telephone 3372378119
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 282N00000X General Acute Care Hospital 505 LA Hospitals

Other Provider Identifiers

Identifier State Issuer Type Code
1700819 LA MEDICAID

Other Provider/Organization Names

Other Name Type Code
Park Place Surgical Hospital Other Name

Office Location

Street Address 4811 AMBASSADOR CAFFERY PKWY
SUITE 100
City LAFAYETTE
State LA
Zip Code 70508-6917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265428585 Richard Hsin Fei Internal Medicine - Pulmonary Disease 4811 Ambassador Caffery Pkwy Ste 401a, Lafayette, LA 70508-7265 2005-09-22
1649488008 Wartelle Joseph Castille Jr. Internal Medicine 4811 Ambassador Caffery Pkwy Ste 305, Lafayette, LA 70508-7266 2007-05-18
1114103694 Mehandi Haran Internal Medicine 4811 Ambassador Caffery Pkwy Ste 401a, Lafayette, LA 70508-7265 2008-01-15
1700082039 Frank Warren Courmier Jr. Internal Medicine 4811 Ambassador Caffery Pkwy, Suite 305, Lafayette, LA 70508-7265 2007-06-24
1619385812 Park Pharmacy LLC · Park Pharmacy Pharmacy 4811 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-7266 2014-07-31
1679967368 Andrea Kaleena George Physician Assistant 4811 Ambassador Caffery Pkwy Ste 305, Lafayette, LA 70508-7266 2015-03-20
1003201625 Bijan Nezami Emergency Medicine 4811 Ambassador Caffery Pkwy Ste 305, Lafayette, LA 70508-7266 2015-03-31
1073109633 Park Pharmacy LLC Pharmacy 4811 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-7266 2020-12-17
1689923849 Shane P Primeaux Pharmacist 4811 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-7266 2012-09-04
1205075181 Ltac of Louisiana, LLC · Ltac of Louisiana Long Term Care Hospital 4811 Ambassador Caffery Pkwy Fl 4, Lafayette, LA 70508-7265 2009-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013393677 Our Lady of Lourdes Regional Medical Center · Lourdes Hospital Clinics Internal Medicine 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2015-08-06
1447679501 Michael Hoss Radiology - Diagnostic Radiology 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2014-04-15
1649748690 Kyle Nowicki Pharmacist 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2018-11-07
1720676794 Jordan Smith Nurse Anesthetist, Certified Registered 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2021-01-05
1962959080 Penelope Levie Nurse Practitioner - Family 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2016-09-07
1417394560 Jimmie D Cole · Jimmie Dean Cole Psychologist - Clinical 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2013-05-30
1235744566 Wound Integrity Louisiana Pmc Family Medicine 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2020-09-14
1558954222 Erica Lind Granger Emergency Medicine 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2021-02-14
1811555121 James Matthew Miller Nurse Practitioner - Family 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2019-06-01
1205372364 Kathryn Collins Nurse Anesthetist, Certified Registered 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 2017-01-13
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1295292787 Brad Michael Gros Counselor 160 South Beadle Road, Lafayette, LA 70508 2019-02-21
1588242747 Louisiana Orthopaedic Specialists, LLC Durable Medical Equipment & Medical Supplies 1301 Camellia Blvd. Ste 102, Lafayette, LA 70508 2021-03-30
1205337581 Alternative Perspectives, LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 2018-02-22
1386099877 Gemmalyn Pryor Counselor - Mental Health 101 Feu Follet Rd Ste 100, Lafayette, LA 70508 2016-05-03
1124565296 Sola Pediatrics Pediatrics 200 Liberty Ave, Lafayette, LA 70508 2017-01-26
1003263773 Larry Brown Counselor - Mental Health 850 Kaliste Saloom Rd Ste 117, Lafayette, LA 70508 2016-05-23
1346868676 Cypress Bend Oral & Maxillofacial Surgery Dentist - Oral and Maxillofacial Surgery 106 Rue Bastille, Lafayette, LA 70508 2020-07-13
1700416831 Christina Nicole Simon Nurse Practitioner - Family 105 Patriot Ave, Suite 101, Lafayette, LA 70508 2020-01-16
1306365457 Mk Dixon Counseling and Consulting · Breakthrough Therapeutic Services Counselor - Mental Health 105 Industrial Parkway, Lafayette, LA 70508 2017-09-10
1376901272 Elizabeth Baumer Counselor - Professional 93 Magnate Drive, Lafayette, LA 70508 2016-02-05
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962024620 The Carpenter Center for Palliative Medicine of Lafayette, LLC General Acute Care Hospital 923 West Pinhook Road, Lafayette, LA 70503 2020-05-15
1861046112 Lafayette General Medical Center Inc General Acute Care Hospital 1213 Coolidge Street, Lafayette, LA 70503 2019-07-25
1134222565 Lafayette Surgical Hospital LLC · Lafayette Surgical Specialty Hospital General Acute Care Hospital 1101 Kaliste Saloom Rd, Lafayette, LA 70508 2006-09-07
1003854316 Lhcg-Iii, LLC · Louisiana Extended Care Hospital of Lafayette General Acute Care Hospital 1214 Coolidge St, 8th Floor, Lafayette, LA 70505 2006-06-02
1346783537 Schumacher Group General Acute Care Hospital 200 Corporate Blvd, Lafayette, LA 70508-3870 2016-11-21
1306281126 University Hospital & Clinics, Inc. General Acute Care Hospital 2390 W Congress St, Lafayette, LA 70506-4205 2013-05-07
1326296211 Indiana University Health Arnett Inc · Iu Health Arnett Hospital General Acute Care Hospital 5165 Mccarty Lane, Lafayette, IN 47905 2008-09-04
1407018435 Arnett-Clarian Health System, LLC · Clarian Arnett Health General Acute Care Hospital 5165 Mccarty Lane, Lafayette, IN 47905 2008-07-01
1205015955 Southpark Acquisition Company LLC · Southpark Community Hospital General Acute Care Hospital 314 Youngsville Hwy, Lafayette, LA 70508-4524 2007-10-30
1023104551 Our Lady of Lourdes Regional Medical Center General Acute Care Hospital 611 Saint Landry St, Lafayette, LA 70506-4627 2006-10-04
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City LAFAYETTE
Zip Code 70508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.