Organization · Type 2 NPI

Pontchartrain Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Covington, LA

NPI number 1497090740 Active

Practice location

4407 Highway 190 East Service Rd, Ste 200
Covington, LA 70433-4957

Call (985) 234-9700 Map

Fax (985) 234-9706

Mailing address

4407 Highway 190 East Service Rd Ste 200
Covington, LA 70433-4972

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	157 (LA)

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

David Baldone, MDAnesthesiology Physician Covington, LA NPI 1831142652

Other ambulatory surgical clinic/center providers in Covington

See all in Covington →

NPI record

NPI: 1497090740
Entity type: Organization (Type 2)
Issued: Nov 27, 2012
Last updated: Oct 28, 2025
Status: Active

Other names

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Our Lady of the Lake Pontchartrain Surgery Center · doing business as
Pontchartrain Surgery Center, LLC · other name

Authorized official

Lisa Salmon, RN
Administrator
(985) 234-9700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497090740

Pontchartrain Surgery Center, LLC's National Provider Identifier is 1497090740, issued on Nov 27, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Covington, LA. The record was last updated on Oct 28, 2025.