Healthcare Provider Details

I. General information

NPI: 1093897225
Provider Name (Legal Business Name): FIRST CHOICE SURGERY CENTER OF BATON ROUGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E AIRPORT AVE
BATON ROUGE LA
70806-6515
US

IV. Provider business mailing address

505 E AIRPORT AVE
BATON ROUGE LA
70806-6515
US

V. Phone/Fax

Practice location:
  • Phone: 225-201-0950
  • Fax: 225-923-3488
Mailing address:
  • Phone: 225-201-0950
  • Fax: 225-923-3488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number19-C0001086
License Number StateLA

VIII. Authorized Official

Name: ARNOLD E FELDMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 225-201-0950