THOMAS NICOTRI JR MD LLC (NPI# 1487727921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487727921 |
| Entity Type | Organization |
| Organization Name | THOMAS NICOTRI JR MD LLC |
| Practice Address |
1305 W Causeway Approach Ste 209 Mandeville LA 70471-3043 |
| Mailing Address |
Po Box 1536 Mandeville LA 70470-1536 |
| Practice Telephone | 9856266996 |
| Practice Fax Number | 9856266995 |
| Mailing Telephone | 9856626699 |
| Mailing Fax Number | 9856266995 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | DR. THOMAS NICOTRI JR. (PRESIDENT) |
| Authorized Official Telephone | 9856266996 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
023801 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1485268 | 05 |
| Street Address |
1305 W CAUSEWAY APPROACH STE 209 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| 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 |
|---|---|---|---|---|
| 1316960370 | Thomas Nicotri Jr. | Dermatology | 229 W Causeway Approach, Mandeville, LA 70448 | 2006-07-25 |
| 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 | 70471 |
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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.