SHREVEPORT SURGERY CENTER PTRSHP
NPI 1598804486
Clinic/Center - Ambulatory Surgical in Shreveport, LA

Active since February 06, 2007CLIA 19D0723122 · Waiver
745 OLIVE ST, SUITE 100, SHREVEPORT, LA 71104(318) 227-1163 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shreveport Surgery Center Ptrshp NPPES

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

SHREVEPORT SURGERY CENTER PTRSHP (NPI 1598804486) is a healthcare organization registered as an ambulatory surgical in Shreveport, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Bridges, Administrator, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1598804486
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHREVEPORT SURGERY CENTER PTRSHP
Location Address745 OLIVE ST, SUITE 100Shreveport, LA 71104-2246
Mailing AddressPo Box 4825Shreveport, LA 71134-0825 · (318) 227-1163
Organization SubpartNo
Authorized OfficialMary BridgesAdministrator · (318) 227-1163
Enumeration DateFebruary 6, 2007
Last NPPES UpdateSeptember 12, 2013
NPI 1598804486 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 · 14
745 OLIVE ST, Shreveport, LA 71104

Other Identifiers 3

Medicare ID-Type Unspecified11007LA
Other21026LA · Blue Cross Blue Shield
Medicaid1334073LA

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Removal of capsule around breast implant

This procedure involves removing the protective layer around a breast implant, often due to complications such as hardening or displacement. It's a surgical process performed under anesthesia, aiming to improve comfort and aesthetic appearance.

This service was performed 20 times for 11 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 30 times for 15 patients

Repair of brow paralysis

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

This service was performed 16 times for 16 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D0723122
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
WADE H. ALLAIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shreveport Surgery Center Ptrshp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SHREVEPORT SURGERY CENTER PTRSHP

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
745 OLIVE ST, STE 200
SHREVEPORT, LA 71104
Internal Medicine (Nephrology)
745 OLIVE ST, SUITE 200
SHREVEPORT, LA 71104
Internal Medicine (Nephrology)
745 OLIVE ST, SUITE 200
SHREVEPORT, LA 71104
Nurse Anesthetist, Certified Registered
745 OLIVE ST, SUITE 100
SHREVEPORT, LA 71104
Nurse Anesthetist, Certified Registered
745 OLIVE ST, SUITE 100
SHREVEPORT, LA 71104
Nurse Practitioner (Family)
745 OLIVE ST, SUITE 200
SHREVEPORT, LA 71104
Counselor (Professional)
745 OLIVE ST, SUITE 109B
SHREVEPORT, LA 71104
Prosthetic/Orthotic Supplier
745 OLIVE ST
SHREVEPORT, LA 71104
Anesthesiology
745 OLIVE ST, SUITE 100
SHREVEPORT, LA 71104
Acupuncturist
745 OLIVE ST, SUITE 212
SHREVEPORT, LA 71104
Psychiatry & Neurology (Geriatric Psychiatry)
745 OLIVE ST, SUITE 109
SHREVEPORT, LA 71104
Internal Medicine (Nephrology)
745 OLIVE ST, SUITE 200
SHREVEPORT, LA 71104
Dentist (Periodontics)
745 OLIVE ST, SUITE 204
SHREVEPORT, LA 71104
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
745 OLIVE ST, SUITE 202
SHREVEPORT, LA 71104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598804486, enumerated as an "organization" on February 06, 2007.

The provider is located at 745 OLIVE ST SUITE 100 SHREVEPORT, LA 71104 and the phone number is (318) 227-1163.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.