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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD.023801 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1485268 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Dermatology, 2020 Gravier Street, New Orleans, LA 70112 | 5044121566 |
Street Address |
229 W CAUSEWAY APPROACH |
City | MANDEVILLE |
State | LA |
Zip Code | 70448 |
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 Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
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. |
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 |
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 |
City | MANDEVILLE |
Zip Code | 70448 |
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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.