AUDUBON DERMATOLOGY, LLC (NPI# 1760413868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760413868 |
| Entity Type | Organization |
| Organization Name | AUDUBON DERMATOLOGY, LLC |
| Practice Address |
3525 Prytania St Suite 501 New Orleans LA 70115-3500 |
| Practice Telephone | 5048953376 |
| Practice Fax Number | 5049103350 |
| Mailing Telephone | 5048953376 |
| Mailing Fax Number | 5049103350 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SARAH CENAC JACKSON (MEMBER) |
| Authorized Official Telephone | 5048953376 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 23129869 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
3525 PRYTANIA ST SUITE 501 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070378 | Alfredo Vichot | Internal Medicine | 3525 Prytania St, Suite 309, New Orleans, LA 70115-3500 | 2005-08-19 |
| 1063951119 | Millenium Telepsychiatry, LLC | Psychiatry & Neurology | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2017-02-21 |
| 1770025702 | Shira Glazer | Dentist | 3525 Prytania St, Suite 312, New Orleans, LA 70115-3500 | 2016-11-08 |
| 1528412988 | Shira Glazer | Clinic/Center | 3525 Prytania St, Ste. 312, New Orleans, LA 70115-3500 | 2016-04-21 |
| 1740659663 | Stacey Flanagan Lowentritt | Social Worker | 3525 Prytania St, Suite 402, New Orleans, LA 70115-3500 | 2015-09-21 |
| 1295125789 | Aaij Home Health Agency LLC | Home Health | 3525 Prytania St, Suite 609, New Orleans, LA 70115-3500 | 2015-02-04 |
| 1235527029 | Suzanne De Boisblanc Tyler | Dietitian, Registered | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2014-12-31 |
| 1194129445 | Grant Butterbaugh Phd LLC | Psychologist | 3525 Prytania St, Suite 309, New Orleans, LA 70115-3500 | 2014-10-15 |
| 1144642091 | Kathy Bernstein | Nurse Practitioner | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2014-01-13 |
| 1801135124 | Godbey-care LLC | Clinic/Center | 3525 Prytania St, Suite 430, New Orleans, LA 70115-3500 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| 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 |
| 1720267560 | Shannon C Pickens | Dermatology | 9930 Lake Forest Blvd, Ste B, New Orleans, LA 70127-5483 | 2007-10-29 |
| 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 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
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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.