WEST JEFFERSON SURGERY CENTER LLC
NPI 1508850413
Clinic/Center - Ambulatory Surgical in Marrero, LA

Active since September 07, 2005
1111 MEDICAL CENTER BLVD, STE 105 NORTH, MARRERO, LA 70072(504) 349-2332(504) 349-2359 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Jefferson Surgery Center Llc NPPES

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

WEST JEFFERSON SURGERY CENTER LLC (NPI 1508850413), doing business as Gwen Mcinnis Administrator, is a healthcare organization registered as an ambulatory surgical in Marrero, Louisiana and active in the NPI registry since September 2005. The organization lists Gwendolyn Morvant Mcinnis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508850413
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWEST JEFFERSON SURGERY CENTER LLC
Location Address1111 MEDICAL CENTER BLVD, STE 105 NORTHMarrero, LA 70072
Mailing Address1111 Medical Center Blvd, Ste 105 NorthMarrero, LA 70072 · (504) 349-2332 · Fax (504) 349-2359
Fax(504) 349-2359
Organization SubpartNo
Authorized OfficialGwendolyn Morvant McinnisAdministrator · (504) 349-6017
Enumeration DateSeptember 7, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1508850413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1111 MEDICAL CENTER BLVD, Marrero, LA 70072

Other Names 1

Former Legal Business NameGwen Mcinnis Administrator

Other Identifiers 3

OtherA50004330State
Other115Lic
Medicaid1150011LA

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.

Specialist
1111 MEDICAL CENTER BLVD, SUITE 250 SOUTH
MARRERO, LA 70072
Nurse Practitioner (Family)
1111 MEDICAL CENTER BLVD, SUITE 613N
MARRERO, LA 70072
Ophthalmology
1111 MEDICAL CENTER BLVD, SUITE N-213
MARRERO, LA 70072
Otolaryngology
1111 MEDICAL CENTER BLVD, SUITE 707N
MARRERO, LA 70072
Family Medicine
1111 MEDICAL CENTER BLVD, STE 304 NORTH
MARRERO, LA 70072
Internal Medicine
1111 MEDICAL CENTER BLVD, SUITE S850
MARRERO, LA 70072
Physician Assistant (Medical)
1111 MEDICAL CENTER BLVD, SUITE S-450
MARRERO, LA 70072
Nurse Practitioner
1111 MEDICAL CENTER BLVD
MARRERO, LA 70072

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 West Jefferson Surgery Center LLC's NPI number?

The NPI number for West Jefferson Surgery Center LLC is 1508850413. It was assigned to this organization in the NPPES registry on September 7, 2005. The provider was formerly known as Gwen Mcinnis Administrator.

Where is West Jefferson Surgery Center LLC located?

West Jefferson Surgery Center LLC is located at 1111 Medical Center Blvd Ste 105 North, Marrero, LA 70072. The listed phone number is (504) 349-2332.

What is West Jefferson Surgery 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 West Jefferson Surgery Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.