THOMAS NICOTRI JR MD LLC NPI 1487727921

NPI Information

  • NPI: 1487727921
  • Provider Name: THOMAS NICOTRI JR MD LLC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 1305 W CAUSEWAY APPROACH STE 209
    MANDEVILLE, LA
    ZIP 70471
  • Phone: (985) 626-6996

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NPI Details

THOMAS NICOTRI JR MD LLC is a dermatopathology dermatology in Mandeville, LA. The provider is 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. THOMAS NICOTRI JR MD LLC NPI is 1487727921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1305 W CAUSEWAY APPROACH STE 209
MANDEVILLE, LA
ZIP 70471-043
Phone: (985) 626-6996
Fax: (985) 626-6995

The provider's authorized official is Thomas Nicotri .
The authorized official title is President and has the following contact phone number (985) 626-6996.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/5/2007.

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
1207ND0900XDermatologyDermatopathology023801LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15BC21MEDICARE PINLOUISIANA
21485268MEDICAIDLOUISIANA

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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