Dermatology and Skin Surgery Apmc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY AND SKIN SURGERY APMC

Practice address

9007 Ellerbe Rd
Shreveport, LA 71106-6724

Phone

(318) 222-3278

Fax

(318) 424-3155

NPI assigned

Sep 27, 2005

Last updated

Apr 22, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jack S Resneck, MDNPI 1861475691

Title

President

Phone

(318) 222-3278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne B Bryan, MD

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1255314415
  Medicare reassignment Care Compare group NPD
• David J Clemons, MD

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1306829916
  Medicare reassignment Care Compare group NPD
• Laura Sherrod Haynie, M.D.

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1679517148
  Medicare reassignment Care Compare group NPD
• Steven Cooper Heard, M.D.

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1194936849
  Medicare reassignment Care Compare group NPD
• Hayden Latour, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1982322988
  Medicare reassignment Care Compare group NPD
• Hunter Marie Martin, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1194518506
  Medicare reassignment Care Compare group NPD
• Donald I Posner

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1548243793
  Medicare reassignment Care Compare group NPD
• Jason Jude Romero, MD

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1851358998
  Medicare reassignment Care Compare group NPD
• Amy White Stafford, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1386845964
  Medicare reassignment Care Compare group
• Elizabeth L Clemons, MD

  • Dermatology Physician
  • Bossier City, LA
  • NPI 1881854883
  Medicare reassignment NPD
• Kelly John Warren, MD

  • Dermatology Physician
  • Dallas, TX
  • NPI 1306801071

  LA, Single Specialty

  Medicare reassignment NPD
• Jack S Resneck, MD

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1861475691
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1023005758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 ELLERBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066724",
            "telephone_number": "318-222-3278",
            "fax_number": "318-424-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 ELLERBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066724",
            "telephone_number": "318-222-3278",
            "fax_number": "318-424-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SKIN SURGERY APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "RESNECK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-222-3278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Health and Hospitals (Pines Treatment Center)
• Department of Health and Hospitals
• Dependable Care Services
• Allison Louise Derise, MD
• Dermatology & Skin Cancer Specialists, LLC
• Alyssa Derouen
• Jennifer Derrick
• Kristy Derrick, MS,RD,LD,CNSC
• Evelyn Derry, PH.D.
• Darcelle Deruise

• Dermatology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.