ST ELIZABETH PHYSICIANS SPECIALISTS
NPI 1144468422
Surgery in Gonzales, LA

Active since January 26, 2009CLIA Certified · 3 labs
2647 S RIVERVIEW BLVD, GONZALES, LA 70737(225) 647-8511(225) 644-5213 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Elizabeth Physicians Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST ELIZABETH PHYSICIANS SPECIALISTS (NPI 1144468422) is a healthcare organization registered as a surgery in Gonzales, Louisiana and active in the NPI registry since January 2009. The organization holds 3 active CLIA laboratory certificates and lists John F Fraiche, President, as its authorized official.

NPPES Registry Identity

NPI1144468422
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameOUR LADY OF THE LAKE ASCENSION, LLC
Location Address2647 S RIVERVIEW BLVDGonzales, LA 70737-5021
Mailing Address2647 S. Riverview BlvdGonzales, LA 70737 · (225) 647-8511 · Fax (225) 644-5213
Fax(225) 644-5213
Organization SubpartYesParent: Our Lady Of The Lake Ascension Community Hospital
Authorized OfficialJohn F FraichePresident · (225) 743-2651
Enumeration DateJanuary 26, 2009
Last NPPES UpdateJune 3, 2009
NPI 1144468422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in LA · 026022 Licensed in LA · 04796R
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 12027R (LA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License R001375 (LA)
Also ListedUrologyTaxonomy 208800000X · License 024919 (LA)
2647 S RIVERVIEW BLVD, Gonzales, LA 70737

Other Names 1

Doing Business AsSt Elizabeth Physicians Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 19D0711456

Our Lady Of The Lake Ascension Blood Gas Lab · Gonzales, LA
Active · expires Jan 2, 2027
CLIA Number19D0711456
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Jennifer L. Jastram-Belcher
Laboratory Phone(225) 647-5038
Laboratory LocationOur Lady Of The Lake Ascension Blood Gas Lab1125 West La Hwy 30, Gonzales, LA 70737
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 19D2113864

Our Lady Of The Lake Physician Group-St Amant · Saint Amant, LA
Active · expires Jun 1, 2028
CLIA Number19D2113864
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorP Cary Aguillard
Laboratory Phone(225) 647-8511
Laboratory LocationOur Lady Of The Lake Physician Group-St Amant13489 Highway 431 Suite A, Saint Amant, LA 70774
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0888392

Our Lady Of The Lake Physician Group Ascension · Gonzales, LA
Active · expires Dec 31, 2027
CLIA Number19D0888392
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorJohn F. Fraiche
Laboratory Phone(225) 647-8511
Laboratory LocationOur Lady Of The Lake Physician Group Ascension2647 S St Elizabeth Blvd, Suite 219, Gonzales, LA 70737
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
2647 S RIVERVIEW BLVD, SUITE 316
GONZALES, LA 70737
Specialist
2647 S RIVERVIEW BLVD, ST 225
GONZALES, LA 70737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Our Lady Of The Lake Ascension, LLC's NPI number?

The NPI number for Our Lady Of The Lake Ascension, LLC is 1144468422. It was assigned to this organization in the NPPES registry on January 26, 2009. The provider is doing business as St Elizabeth Physicians Specialists.

Where is Our Lady Of The Lake Ascension, LLC located?

Our Lady Of The Lake Ascension, LLC is located at 2647 S Riverview Blvd, Gonzales, LA 70737. The listed phone number is (225) 647-8511.

What is Our Lady Of The Lake Ascension, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Our Lady Of The Lake Ascension, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Lake Ascension, LLC was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.