ESTHETIC MD NPI 1235643891

NPI Information

  • NPI: 1235643891
  • Provider Name: ESTHETIC MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3769 PONTCHARTRAIN DR STE 3
    SLIDELL, LA
    ZIP 70458
  • Phone: (985) 641-5476

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NPI Details

ESTHETIC MD is a family medicine in Slidell, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ESTHETIC MD NPI is 1235643891. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3769 PONTCHARTRAIN DR STE 3
SLIDELL, LA
ZIP 70458-852
Phone: (985) 641-5476

The provider's authorized official is Jennifer Robin Bonney .
The authorized official title is Manager/ Billing and has the following contact phone number (228) 254-0495.

The enumeration date for this NPI number is 11/18/2017 and was last updated on 11/18/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyMD016771LOUISIANANo
2207ND0900XDermatologyDermatopathology16771LOUISIANANo
3207Q00000XFamily MedicineMD.206408LOUISIANAYes

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: 11/21/2025

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