DR. SHANNON C PICKENS (NPI# 1720267560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720267560 |
| Entity Type | Individual |
| Full Name | DR. SHANNON C PICKENS |
| Credential | MD |
| Practice Address |
9930 Lake Forest Blvd Ste B New Orleans LA 70127-5483 |
| Mailing Address |
300 Gateway Dr Slidell LA 70461-5540 |
| Practice Telephone | 9856434512 |
| Practice Fax Number | 9856434513 |
| Mailing Telephone | 9856434512 |
| Mailing Fax Number | 9856434513 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 025591 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1050342 | 05 | |
| LA | MEDICAL LICENSE | MD025591 | 01 |
| Street Address |
9930 LAKE FOREST BLVD STE B |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70127-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457648321 | Clinical Consultants of Louisiana LLC | Clinic/Center | 9930 Lake Forest Blvd, Ste. B, New Orleans, LA 70127-5483 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1457830036 | Generations Health Inc | Case Manager/Care Coordinator | 8000 Crowder Blvd Ste B, New Orleans, LA 70127 | 2018-08-14 |
| 1881189066 | Gwendolyn A Brown | Psychologist | 9840 Andover Dr, New Orleans, LA 70127 | 2018-06-29 |
| 1407349095 | Impressive Diagnostics | Pathology | 7011 Read Blvd Ste I, New Orleans, LA 70127 | 2018-06-08 |
| 1528555760 | Traveling Grace Transportation Service LLC | Military/U.S. Coast Guard Transport | 7520 Shubrick Street, New Orleans, LA 70127 | 2018-04-13 |
| 1417450420 | Shannon Louella Bullock | Counselor | 10711 Vienna St, New Orleans, LA 70127 | 2018-03-15 |
| 1942719026 | Brianna Truffa | Counselor | 10001 Lake Forest Blvd., Suite 302, New Orleans, LA 70127 | 2017-09-21 |
| 1609303338 | Briana Alphonse | Counselor | 7240 Crowder Boulevard, Suite 202, New Orleans, LA 70127 | 2017-05-12 |
| 1679006720 | Michele Torregano | Case Manager/Care Coordinator | 10110 Deerfield Dr, New Orleans, LA 70127 | 2017-04-05 |
| 1083152128 | Keisha Black | Counselor | 8470 Morrison Road, Suite A, New Orleans, LA 70127 | 2017-02-09 |
| Find all providers in zip 70127 | ||||
| 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 |
|---|---|---|---|---|
| 1457904658 | Advanced Skin Care | Dermatology | 3434 Prytania St Ste 420, New Orleans, LA 70115-3502 | 2019-07-17 |
| 1851865869 | Southern Dermatology of New Orleans | Dermatology | 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115-7403 | 2019-01-14 |
| 1336316959 | Adrian Dobrescu | Dermatology | 5333 Prytania St, New Orleans, LA 70115-4128 | 2008-05-13 |
| 1861668808 | Katherine Zibilich Holcomb | Dermatology | 145 Robert E Lee Blvd Ste 302, Naval Hospital, New Orleans, LA 70124-2593 | 2008-04-30 |
| 1356531677 | Stephen John Klinger | Dermatology | 450 A South Claiborne Ave., Ste. 206, New Orleans, LA 70112 | 2007-08-01 |
| 1609098912 | Sharon S. Meyer, Md, LLC | Dermatology | 3434 Prytania Street, Suite 310, Sharon S. Meyer, Md, LLC, New Orleans, LA 70115-3532 | 2007-05-03 |
| 1073682084 | Patricia R Hickham | Dermatology | 4141 Bienville St Ste 108, New Orleans, LA 70119 | 2006-11-06 |
| 1558454744 | Tulane Univ. Health Sciences Center | Dermatology | 1430 Tulane Ave # Tb-36, New Orleans, LA 70112-2632 | 2006-10-02 |
| 1699770214 | Martin D. Claiborne IIi | Dermatology | 1477 Louisiana Ave, Ste 100, New Orleans, LA 70115-3505 | 2005-06-20 |
| 1972166593 | Ryan Eliot Lawrence | Dermatology | 1430 Tulane Ave # 8036, New Orleans, LA 70112-2632 | 2019-04-18 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70127 |
Please comment or provide details below to improve the information on DR. SHANNON C PICKENS.
| 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.