SOUTHERN SURGICAL SERVICES, L.L.C.
NPI 1265811087
Point of Service in Houma, LA

NPI Status: Active since May 26, 2015

Contact Information

203 PENDLETON DR
HOUMA, LA
ZIP 70360
Phone: (985) 805-0921

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  • Organization
  • Point of Service
  • CLIA Number: 19D0648912
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About SOUTHERN SURGICAL SERVICES, L.L.C.

This page provides the complete NPI Profile along with additional information for Southern Surgical Services, L.l.c., a provider established in Houma, Louisiana operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1265811087 assigned on May 2015. The practitioner's primary taxonomy code is 305S00000X with license number 140601 (LA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Kelsey Eschette Cst/csfa (Certified Surgical First Assistant)

NPI
1265811087
Provider Name
SOUTHERN SURGICAL SERVICES, L.L.C.
Entity Type
Organization
Location Address
203 PENDLETON DR HOUMA, LA 70360
Location Phone
(985) 805-0921
Mailing Address
203 PENDLETON DR HOUMA, LA 70360
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2015
Last Update Date
10-06-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
140601
License State
LA
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELSEY ESCHETTE CST/CSFA

Authorized Official Title
CERTIFIED SURGICAL FIRST ASSISTANT
Authorized Official Phone
(985) 805-0921

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
19D0648912
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
HERMINIO SUAZO MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Surgical Services, L.l.c. 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265811087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251612016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 1 + 2 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1265811087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245627959MS. KELSEY ESCHETTE CST,CSFA
Individual
Physician Assistant (Surgical)203 PENDLETON DR
HOUMA, LA 70360
(985) 805-0921

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265811087, enumerated in the NPI registry as an "organization" on May 26, 2015

The provider is located at 203 Pendleton Dr Houma, La 70360 and the phone number is (985) 805-0921

This medical organization specializes in Point of Service with taxonomy code 305S00000X

The provider's CLIA number is 19D0648912 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on May 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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