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ERIC NEAL TABOR M.D. NPI 1588627244


NPI Information

NPI: 1588627244
Provider Name: ERIC NEAL TABOR, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual
Organization: ERIC N. TABOR, M.D. A.P.M.C

PECOS Registration: Yes

CLIA Number: 19D2133284

Address:
2780 GAUSE BLVD E
SUITE A
SLIDELL, LA
ZIP 70461
Phone: (985) 641-5198
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Eric Neal Tabor, M.D. is a dermatology in Slidell, LA with 31 years of experience. The provider is 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. Eric Neal Tabor, M.D. NPI is 1588627244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2780 GAUSE BLVD E
SUITE A
SLIDELL, LA
ZIP 70461-149
Phone: (985) 641-5198
Fax: (985) 641-5398

The NPI 1588627244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 19D2133284 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)

The enumeration date for this NPI number is 4/11/2006 and was last updated on 9/11/2013.


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
1207N00000XDermatology15605MISSISSIPPINo
2207N00000XDermatologyG81348CALIFORNIANo
3207N00000XDermatology12278RLOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G47495MEDICARE UPINLOUISIANA
200119852MEDICAIDMISSISSIPPI
3C02746MEDICARE PINMISSISSIPPI
41695149MEDICAIDLOUISIANA
55Y493CU52MEDICARE PINLOUISIANA

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: 11/14/2023

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