DR. MARY P. LUPO (NPI# 1649273152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649273152 |
| Entity Type | Individual |
| Full Name | DR. MARY P. LUPO |
| Credential | M.D. |
| Practice Address |
145 Robert E Lee Blvd Ste 302 New Orleans LA 70124-2593 |
| Practice Telephone | 5047773047 |
| Practice Fax Number | 5042881535 |
| Mailing Telephone | 5047773047 |
| Mailing Fax Number | 5042881535 |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2020-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
015836 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
145 ROBERT E LEE BLVD STE 302 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70124-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714604 | Bianchini Brennan Lewis | Psychologist | 145 Robert E Lee Blvd, Ste 300, New Orleans, LA 70124-2552 | 2015-11-09 |
| 1518111418 | New Horizon Oncology Center, LLC | Internal Medicine | 145 Robert E Lee Blvd, New Orleans, LA 70124-2552 | 2008-11-05 |
| 1346449949 | Mary L. Puissegur Lupo | Dermatology | 145 Robert E Lee Blvd, Suite 302, New Orleans, LA 70124-2552 | 2007-07-13 |
| 1396827531 | Kim E. Vangeffen | Clinical Neuropsychologist | 145 Robert E Lee Blvd, Suite 306, New Orleans, LA 70124-2552 | 2006-10-19 |
| 1477668168 | Joseph Sampognaro IIi | Internal Medicine | 145 Robert E Lee Blvd, Ste. 402, New Orleans, LA 70124-2552 | 2006-08-20 |
| 1114951001 | Glenn Carl Dubroc Jr. | Dentist | 145 Robert E Lee Blvd, Suite 404, New Orleans, LA 70124-2552 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959609 | Kalli Jean Mcgrievy | Registered Nurse | 300 Lake Marina Ave, #14be, New Orleans, LA 70124 | 2020-03-31 |
| 1336797703 | Vanessa Batiste-leal | Case Manager/Care Coordinator | 827 S. Causeway Blvd, Suite 206, Metairie, LA 70124 | 2019-08-29 |
| 1215592571 | Laura M Hernandez | Counselor | 6270 Canal Blvd., New Orleans, LA 70124 | 2019-05-02 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1881091643 | Charbonnet Health LLC | Pharmacy | 7211 Regent St., New Orleans, LA 70124 | 2014-11-21 |
| 1659790871 | Randy Michael Rossignol | Internal Medicine | 100 W. Harrison Ave. Ste. 101, Suite 101, New Orleans, LA 70124 | 2014-04-15 |
| 1457699019 | Lakeview Vision Source, LLC | Optometrist | 222 Harrison Avenue, New Orleans, LA 70124 | 2013-01-16 |
| 1376890319 | Ingrid Theresa Duffy | Nurse Practitioner | 928 Hidalgo St, New Orleans, LA 70124 | 2012-08-09 |
| 1053554840 | Lindsay Elise Ford | Internal Medicine | 7030 Canal Blvd, 2nd Floor, New Orleans, LA 70124 | 2009-04-09 |
| 1407010440 | Stephen J Delahoussaye | Dentist | 7037 Canal Blvd Suite 210, New Orleans, LA 70124 | 2008-07-17 |
| Find all providers in zip 70124 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180583 | Edward F Pitard | Dermatology | 602 Robert E Lee Blvd, New Orleans, LA 70124-2545 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184147498 | Enid Holdings LLC | Dermatology | 4501 N I 10 Service Rd W, Metairie, LA 70006-6525 | 2017-07-18 |
| 1083953137 | Skin Surgery Specialists | Dermatology | 8575 Business Park Dr, Shreveport, LA 71105-5655 | 2013-02-10 |
| 1871726000 | Maurice Mccall Vick Jr. | Dermatology | 5225 Odonovan, Ste 102, Baton Rouge, LA 70808-7202 | 2009-09-04 |
| 1407039050 | Nicholas J. Viviano, Md, LLC | Dermatology | 7031 Highway 190 East Service Rd, Covington, LA 70433-4955 | 2007-12-05 |
| 1356421010 | The Dermatology Clinic of St Tammany II, LLC | Dermatology | 714 W 16th Ave, Covington, LA 70433-2422 | 2006-10-17 |
| 1467541797 | Carter David Paddock | Dermatology | 6640 Riverside Dr, Suite 230, Metairie, LA 70003 | 2006-10-12 |
| 1184711194 | John H Counce II | Dermatology | 3901 Houma Blvd., Suite 109, Metairie, LA 70006 | 2006-10-10 |
| 1861585283 | William P. Coleman IIi | Dermatology | 4425 Conlin St, Metairie, LA 70006-2123 | 2006-09-30 |
| 1861459547 | Rene None Koppel | Dermatology | 3640 Houma Blvd, Metairie, LA 70006-4230 | 2006-04-27 |
| 1487615662 | Jack P Murphy | Dermatology | 398 Belle Terre Blvd, La Place, LA 70068-2435 | 2006-03-29 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70124 |
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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.