LOUISIANA DERMATOLOGY ASSOCIATES, LLC (NPI# 1326037649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326037649 |
| Entity Type | Organization |
| Organization Name | LOUISIANA DERMATOLOGY ASSOCIATES, LLC |
| Practice Address |
10154 Jefferson Hwy Baton Rouge LA 70809-2725 |
| Practice Telephone | 2254900812 |
| Practice Fax Number | 2254900813 |
| Mailing Telephone | 2254900812 |
| Mailing Fax Number | 2254900813 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | MRS. GLENDA M IMES (PRACTICE MANAGER) |
| Authorized Official Telephone | 2254900812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912190646 | Louisiana Dermatology Associates, LLC | Dermatology | 1014 W. St. Clare Boulevard, Suite 1040, Gonzales, LA 70737 | 2007-08-27 |
| Street Address |
10154 JEFFERSON HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178047 | Ira Hughes Thorla Jr. | Dermatology | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2005-10-19 |
| 1164841243 | Sarah Mcginty | Dermatology | 10154 Jefferson Hwy, Baton Rouge, LA 70809 | 2014-04-16 |
| 1093000994 | Kristin Loup Green | Physician Assistant | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2011-06-20 |
| 1972543445 | Mary Curry Dickerson | Specialist | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2006-06-06 |
| 1275522328 | Franklin R Johnson Jr. | Dermatology | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2005-10-20 |
| 1134118466 | Tara Lynn Rheubottom | Physician Assistant | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2005-10-19 |
| 1033108238 | Jennifer Henderson Leblanc | Nurse Practitioner | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1972763340 | Nicole Matths Harrell | Dermatology | 5326 O'dovan Drive, Baton Rouge, LA 70808 | 2008-06-10 |
| 1053579862 | Dermasurgery Center, LLC | Dermatology | 7414 Picardy Ave, Suite C, Baton Rouge, LA 70808-4696 | 2008-05-28 |
| 1386783280 | Laci Lafleur Theunissen | Dermatology | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 | 2007-02-06 |
| 1245397397 | Lynn Z. Tucker | Dermatology | 7388 Highland Rd, Ste. A, Baton Rouge, LA 70808-6601 | 2007-01-01 |
| 1902976921 | Ann C Zedlitz | Dermatology | 5326 Odonovan Dr, Baton Rouge, LA 70808-4691 | 2006-11-08 |
| 1710095120 | Chad Landon Prather | Dermatology | 6411 Perkins Rd Ste 100, Baton Rouge, LA 70808-4125 | 2006-08-26 |
| 1437186228 | Christopher James Mcewen | Dermatology | 5220 Flanders Dr, Baton Rouge, LA 70808 | 2006-06-27 |
| 1093742769 | Calais Dermatology Associates | Dermatology | 5220 Flanders Drive, Baton Rouge, LA 70808 | 2006-06-27 |
| 1356381800 | Stephanie R. Frederic | Dermatology | 7373 Perkins Rd., Baton Rouge, LA 70808-4686 | 2006-06-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.