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DERMASURGERY CENTER LLC NPI 1053579862


NPI Information

NPI: 1053579862
Provider Name: DERMASURGERY CENTER, LLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 19D1089854

Address:
6411 PERKINS RD STE 100
BATON ROUGE, LA
ZIP 70808
Phone: (225) 303-9500
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DERMASURGERY CENTER, LLC is a procedural dermatology dermatology in Baton Rouge, LA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DERMASURGERY CENTER, LLC NPI is 1053579862. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6411 PERKINS RD STE 100
BATON ROUGE, LA
ZIP 70808-125
Phone: (225) 303-9500

The provider's authorized official is Chad L. Prather .
The authorized official title is Owner and has the following contact phone number (225) 303-9500.

The CLIA number assigned to this NPI record is 19D1089854 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 1/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD.200242LOUISIANANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryMD.200242LOUISIANANo
3207ND0900XDermatologyDermatopathologyMD.200242LOUISIANANo
4207NS0135XDermatologyProcedural DermatologyMD.200242LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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