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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: August 16, 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.

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
Phone(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
Open in Google Maps ↗

Other Identifiers 3

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 19D0723122

Shreveport Surgery Center · Shreveport, LA
Active · expires Aug 31, 2026
CLIA Number19D0723122
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWade H. Allain
Laboratory Phone(318) 227-1163
Laboratory LocationShreveport Surgery Center745 Olive Street Suite 100, Shreveport, LA 71104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of excessive skin and fat of upper eyelid 15823
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.
42 services21 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
24 services19 patients
Removal of capsule around breast implant 19371
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.
22 services14 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
19 services19 patients
Repair of brow paralysis 67900
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.
14 services14 patients

Other Providers at the Same Location NPPES 14

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

PETERSON COUNSELING SERVICES, LLC
Counselor (Professional)
745 OLIVE ST, SUITE 109B
SHREVEPORT, LA 71104
Caddo Parish (318) 221-6070
MRS. DEBRA C. SMITH CRNA
Nurse Anesthetist, Certified Registered
745 OLIVE ST, SUITE 100
SHREVEPORT, LA 71104
Caddo Parish (318) 227-1163
NEPHROLOGY CONSULTANTS LLC
Internal Medicine (Nephrology)
745 OLIVE ST, SUITE 200
SHREVEPORT, LA 71104
Caddo Parish (318) 226-0809
DELTA NEPHROLOGY LLC
Internal Medicine (Nephrology)
745 OLIVE ST, SUITE 200
SHREVEPORT, LA 71104
Caddo Parish (318) 226-0809
DR. HENRY EDWARD WOOD JR. MD
Internal Medicine (Nephrology)
745 OLIVE ST, STE 200
SHREVEPORT, LA 71104
Caddo Parish (318) 226-0809
DIALYSIS CLINIC INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
745 OLIVE ST, SUITE 202
SHREVEPORT, LA 71104
Caddo Parish (318) 673-8250
MR. FRED A. LORD JR. CRNA
Nurse Anesthetist, Certified Registered
745 OLIVE ST, SUITE 100
SHREVEPORT, LA 71104
Caddo Parish (318) 227-1163
SHREVEPORT PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
745 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (214) 770-4161

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 Shreveport Surgery Center Ptrshp's NPI number?

The NPI number for Shreveport Surgery Center Ptrshp is 1598804486. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Shreveport Surgery Center Ptrshp located?

Shreveport Surgery Center Ptrshp is located at 745 Olive St Suite 100, Shreveport, LA 71104. The listed phone number is (318) 227-1163.

What is Shreveport Surgery Center Ptrshp's specialty?

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

Does Shreveport Surgery Center Ptrshp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0723122) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shreveport Surgery Center Ptrshp accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Shreveport Surgery Center Ptrshp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shreveport Surgery Center Ptrshp was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.