FAMILY DERMATOLOGY SPECIALISTS, LLC (NPI# 1235678558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235678558 |
| Entity Type | Organization |
| Organization Name | FAMILY DERMATOLOGY SPECIALISTS, LLC |
| Practice Address |
3421 N Causeway Boulevard Suite 202 Metairie LA 70002-3759 |
| Mailing Address |
3421 N Causeway Blvd Suite 202 Metairie LA 70002-3759 |
| Practice Telephone | 5048326612 |
| Practice Fax Number | 5048326613 |
| Mailing Telephone | 5048326612 |
| Mailing Fax Number | 5048326613 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MS. TERRY G NORTHCOTT (OFFICE MANAGER) |
| Authorized Official Telephone | 5048326612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | TAXONOMY | 207N00000X | 01 |
| Street Address |
3421 N CAUSEWAY BOULEVARD SUITE 202 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821551573 | Mara Haseltine Md LLC | Dermatology | 3100 Galleria Dr Ste 203, Metairie, LA 70001-2196 | 2019-04-10 |
| 1326319740 | Alan T. Lewis LLC | Dermatology | 4421 Chastant St, Metairie, LA 70006-2053 | 2012-01-17 |
| 1295995546 | Elizabeth F Bucher | Dermatology | 1615 Metairie Rd, Suite 101, Metairie, LA 70005-3974 | 2008-06-11 |
| 1699806539 | Ashley N Counce | Dermatology | 3901 Houma Blvd Plaza 1 Suite 109, Metairie, LA 70006 | 2007-03-09 |
| 1124182993 | I Ricardo Martinez | Dermatology | 4224 Houma Blvd Ste 360, Metairie, LA 70006 | 2006-12-19 |
| 1528089547 | Leonard E. Gately IIi | Dermatology | 3421 N Causeway Blvd Ste 202, Metairie, LA 70002-3759 | 2006-07-22 |
| 1144203589 | George Havard Albright | Dermatology | 4701 Cleveland Pl, Metairie, LA 70003-1249 | 2005-11-21 |
| 1053302273 | Diane Loria Rose | Dermatology | 2221 Clearview Pkwy, Suite 101, Metairie, LA 70001-2458 | 2005-11-04 |
| 1750844361 | Pure Dermatology LLC | Dermatology | 3100 Galleria Dr Ste 203, Metairie, LA 70001-2196 | 2019-04-10 |
| 1336373729 | Kathryn Kerisit | Dermatology | 2323 Metairie Rd, Metairie, LA 70001-5561 | 2009-05-13 |
| Find all providers in METAIRIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.