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SURGICAL SPECIALTY CENTER, LLC
NPI 1316970916
Clinic/Center - Ambulatory Surgical in Shreveport, LA

Active since July 08, 2006
1500 LINE AVE, SUITE 204, SHREVEPORT, LA 71101(318) 629-5001(318) 629-5020 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgical Specialty Center, Llc NPPES

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

SURGICAL SPECIALTY CENTER, LLC (NPI 1316970916) is a healthcare organization registered as an ambulatory surgical in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization lists Kandi R Moore, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316970916
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL SPECIALTY CENTER, LLC
Location Address1500 LINE AVE, SUITE 204Shreveport, LA 71101-4639
Mailing Address1500 Line Ave, Suite 204Shreveport, LA 71101-4639 · (318) 629-5001 · Fax (318) 629-5020
Phone(318) 629-5001
Fax(318) 629-5020
Organization SubpartNo
Authorized OfficialKandi R MooreAdministrator · (318) 631-2525
Enumeration DateJuly 8, 2006
Last NPPES UpdateMarch 31, 2008
✔ NPI 1316970916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in LA · 80
1500 LINE AVE, Shreveport, LA 71101
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Other Identifiers 2

Medicare ID-Type Unspecified11066LA
Medicaid1478334LA

Other Providers at the Same Location NPPES 20

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

KELLY DANIELS PT, DPT
Physical Therapist (Orthopedic)
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3810
TONYA L MCCULLOCH MPT, CWS
Physical Therapist
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3800
JOHN MARSHALL HAYNIE MD
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
Caddo Parish (318) 635-3052
ADVANCED NEURO MONITORING
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 632-6060
EMILY MARIEN WINKLER
Nurse Anesthetist, Certified Registered
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3800
BRIAN K ADKINS CNIM
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 632-6060
CAMILLE THEISEN RN
Registered Nurse
1500 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 213-3800
STEPHEN L. COX M.D.
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
Caddo Parish (318) 635-3052

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 Surgical Specialty Center, LLC's NPI number?

The NPI number for Surgical Specialty Center, LLC is 1316970916. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Surgical Specialty Center, LLC located?

Surgical Specialty Center, LLC is located at 1500 Line Ave Suite 204, Shreveport, LA 71101. The listed phone number is (318) 629-5001.

What is Surgical Specialty Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Surgical Specialty Center, LLC was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.