IBERIA DERMATOLOGY (NPI# 1518094010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518094010 |
| Entity Type | Organization |
| Organization Name | IBERIA DERMATOLOGY |
| Practice Address |
602 N Lewis St Suite 600 New Iberia LA 70563-2093 |
| Mailing Address |
Po Box 10938 New Iberia LA 70562-0938 |
| Practice Telephone | 3375601200 |
| Practice Fax Number | 3375605554 |
| Mailing Telephone | 3375601200 |
| Mailing Fax Number | 3375605554 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-10-01 |
| Authorized Official Name | DR. VENETIA MARIE NICOLE PATOUT (OWNER) |
| Authorized Official Telephone | 3375601200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 023184 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1492485 | 05 |
| Street Address |
602 N LEWIS ST SUITE 600 |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085699 | Clyde R Roy IIi | Urology | 602 N Lewis St, Suite 400, New Iberia, LA 70563-2093 | 2005-07-06 |
| 1891955415 | Surgical Group A Medical Corporation | Specialist | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2008-06-17 |
| 1003086018 | Tim F. Himel, M.d., Apmc | Psychiatry & Neurology | 602 N Lewis St, Suite 500, New Iberia, LA 70563-2093 | 2008-03-05 |
| 1740317221 | Mark B. Charbonnet, Md Apmc | Internal Medicine | 602 N Lewis St, Suite 600, New Iberia, LA 70563-2093 | 2007-02-28 |
| 1891718177 | Mark Barton Charbonnet | Internal Medicine | 602 N Lewis St, Suite 600, New Iberia, LA 70563-2093 | 2006-07-26 |
| 1144222563 | William W Harkrider Jr. | Surgery | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2005-08-15 |
| 1649272063 | Kurt B Obrien | Surgery | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2005-08-15 |
| 1669473138 | Noninvasive Vascular Lab Inc | Radiology | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| 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 |
|---|---|---|---|---|
| 1104849579 | Venetia Marie Nicole Patout | Dermatology | 602 North Lewis Street, Suite 600, New Iberia, LA 70563 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939526 | Mcdaniel Dermatology, LLC | Dermatology | 109 New Camellia Blvd Ste 200, Covington, LA 70433-7829 | 2020-10-09 |
| 1851919005 | Cenla Dermatology | Dermatology | 1587 N Bolton Ave Ste 1300, Alexandria, LA 71303-4255 | 2020-07-13 |
| 1457904658 | Advanced Skin Care | Dermatology | 3434 Prytania St Ste 420, New Orleans, LA 70115-3502 | 2019-07-17 |
| 1821551573 | Mara Haseltine Md LLC | Dermatology | 3100 Galleria Dr Ste 203, Metairie, LA 70001-2196 | 2019-04-10 |
| 1851865869 | Southern Dermatology of New Orleans | Dermatology | 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115-7403 | 2019-01-14 |
| 1235643891 | Esthetic Md | Dermatology | 3769 Pontchartrain Dr Ste 3, Slidell, LA 70458-4852 | 2017-11-18 |
| 1235678558 | Family Dermatology Specialists, LLC | Dermatology | 3421 N Causeway Boulevard, Suite 202, Metairie, LA 70002-3759 | 2017-02-20 |
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1982098836 | Tyson Meaux | Dermatology | 101 Rue Fontaine, Lafayette, LA 70508-5744 | 2015-03-27 |
| 1447678610 | Stratton Grisoli | Dermatology | 150 Lakeview Cir, Covington, LA 70433-7512 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
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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.