Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Physician Network LLC

Organization Orthopaedic Trauma Physician · NPI 1609786219

Southern Physician Network LLC provides Orthopaedic Trauma Physician services in Slidell, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1700 Lindberg Dr
Slidell, LA 70458-8062
Phone: (985) 641-0600
Fax: (985) 643-7677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X

Record details

NPI number1609786219
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Surgical Hospital Slidell, LLC
Authorized official Michael Pisciotta — Ceo · (985) 661-2102
NPI enumeratedSeptember 8, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026
Mailing address1700 Lindberg Dr, Slidell, LA 70458-8062