Healthcare Provider Details

I. General information

NPI: 1811371230
Provider Name (Legal Business Name): CENTURY OAK ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 N CAUSEWAY BLVD
MANDEVILLE LA
70471-3104
US

IV. Provider business mailing address

124 CENTURY OAK LN
MANDEVILLE LA
70471-6436
US

V. Phone/Fax

Practice location:
  • Phone: 985-502-4104
  • Fax:
Mailing address:
  • Phone: 315-975-3500
  • Fax: 985-247-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTA SWIGER
Title or Position: OWNER
Credential:
Phone: 315-975-3500