THOMAS NICOTRI JR.


Address: 229 W Causeway Approach, Mandeville, LA 70448
Phone: 5047227684

THOMAS NICOTRI JR. (NPI# 1316960370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316960370
Entity Type Individual
Full Name THOMAS NICOTRI JR.
Credential M.D.
Practice Address 229 W Causeway Approach
Mandeville
LA 70448
Mailing Address Po Box 3780
Tupelo
MS 38803-3780
Practice Telephone 5047227684
Mailing Telephone 3188419526
Enumeration Date 2006-07-25
Last Update Date 2018-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
MD.023801 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1485268 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
Dermatology, 2020 Gravier Street, New Orleans, LA 70112 5044121566

Office Location

Street Address 229 W CAUSEWAY APPROACH
City MANDEVILLE
State LA
Zip Code 70448

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962035964 Tyler Trenton Wansley Nurse Practitioner 23515 Us-190, Mandeville, LA 70448 2020-02-18
1346712957 Start Corporation Clinic/Center 23251 South Robin Road, Mandeville, LA 70448 2018-12-20
1952870362 Oh Project-lafayette Community/Behavioral Health 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 2018-11-14
1083113187 Amanda Stokes Barker Occupational Therapist 1903 University Dr, Mandeville, LA 70448 2018-02-05
1629594544 Ochsner Clinic LLC Internal Medicine 3235 E Causeway Approach, Mandeville, LA 70448 2017-08-22
1831628288 Katherine Lea Gristina Speech-Language Pathologist 307 Copal Street, Mandeville, LA 70448 2017-06-08
1154779551 Jonathan Ferguson Specialist/Technologist 26301 La-1088, Mandeville, LA 70448 2016-05-26
1568821874 Raymond Wallace IIi Licensed Vocational Nurse 23861 South Robin Rd, Mandeville, LA 70448 2016-02-15
1548629140 Martha Miller Clinical Nurse Specialist 400 Mariner's Blvd, Mandeville, LA 70448 2016-02-11
1023483435 Tina Marie Catalano Licensed Practical Nurse 23861 South Robin Road, Mandeville, LA 70448 2015-12-10
Find all providers in zip 70448

Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487727921 Thomas Nicotri Jr Md LLC Dermatology 1305 W Causeway Approach Ste 209, Mandeville, LA 70471-3043 2006-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104862085 Gulf South Medical & Surgical Institute Dermatology 3705 Florida Ave, Kenner, LA 70065-3031 2006-06-21
1144413840 George Garib Dermatology 1514 Jefferson Hwy, New Orleans, LA 70121 2007-08-25
1366592404 Martin & Marshall Dermpath, LLC Dermatology 1401 Foucher Street, New Orleans, LA 70115-3515 2007-01-11
1760587752 Consultant Pathology Service, Inc. Dermatology 1141 Whitney Ave # 3, Gretna, LA 70056-5011 2006-09-14
1073625505 George Allan Farber Sr. Dermatology 3705 Florida Ave, Kenner, LA 70065-3031 2006-08-31
1629095468 Mehdi Mosadegh Dermatology 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 2006-07-17

Competitor

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City MANDEVILLE
Zip Code 70448

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Dataset Information

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.

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