DERMASURGERY CENTER, LLC (NPI# 1053579862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053579862 |
| Entity Type | Organization |
| Organization Name | DERMASURGERY CENTER, LLC |
| Practice Address |
7414 Picardy Ave Suite C Baton Rouge LA 70808-4696 |
| Mailing Address |
6316 Morgan Rd Greenwell Springs LA 70739-4347 |
| Practice Telephone | 5043197722 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. CHAD L. PRATHER (OWNER) |
| Authorized Official Telephone | 5043197722 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD.200242 | LA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD.200242 | LA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD.200242 | LA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD.200242 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
7414 PICARDY AVE SUITE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154876670 | Orthobr LLC | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2016-08-25 |
| 1003194580 | John F. Loupe, M.d., A.p.m.c. | Specialist | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2011-08-01 |
| 1033425012 | Louisiana Center for Orthopaedic & Sports Medicine | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2010-08-27 |
| 1053630343 | John F Loupe | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2010-05-26 |
| 1467694349 | Piper Shields Estep | Physician Assistant | 7414 Picardy Ave, Suite C, Baton Rouge, LA 70808-4696 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| 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 |
|---|---|---|---|---|
| 1871726000 | Maurice Mccall Vick Jr. | Dermatology | 5225 Odonovan, Ste 102, Baton Rouge, LA 70808-7202 | 2009-09-04 |
| 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 |
| 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 |
| 1841269453 | Thomas Drew Carey | Dermatology | 410 E Vaughn Ave, Ruston, LA 71270-5951 | 2006-03-16 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.