OrganizationActive
Coastal Surgery Center, LLC
NPI 1962633636 · Pain Clinic/Center · Lake Charles, LA
Coastal Surgery Center, LLC is a Pain Clinic/Center organization in Lake Charles, LA (NPI 1962633636).
Provider details
- NPI number
- 1962633636
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristi Widcamp, Manager(337) 477-9019
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 W Prien Lake Rd
Suite B
Lake Charles, LA 70601-8450
Phone: (337) 477-9019
Fax: (337) 478-1290
Street-level locationGet directions
Mailing address
Po Box 4838
Lake Charles, LA 70606-4838
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2013-04-22
Frequently asked questions
- What is Coastal Surgery Center, LLC's NPI number?
- Coastal Surgery Center, LLC's National Provider Identifier (NPI) is 1962633636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Surgery Center, LLC?
- Coastal Surgery Center, LLC is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Surgery Center, LLC located?
- Coastal Surgery Center, LLC's practice location on file with NPPES is 215 W Prien Lake Rd, Lake Charles, LA 70601-8450.
- What is Coastal Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Surgery Center, LLC is (337) 477-9019.
- Who is the authorized official for Coastal Surgery Center, LLC?
- The authorized official listed on Coastal Surgery Center, LLC's NPPES record is Kristi Widcamp, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Surgery Center, LLC's NPI active?
- Yes — Coastal Surgery Center, LLC's NPI (1962633636) is active in the NPPES registry as of the last update on 2013-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.