Dermatology Nola

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY NOLA

Practice address

4425 Conlin St
Metairie, LA 70006-2181

Phone

(504) 455-3180

Fax

(504) 885-2512

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. William Patrick Coleman IV, MDNPI 1104038439

Title

President

Phone

(504) 455-3180

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Patrick Coleman IV, M.D.

  • Procedural Dermatology Physician
  • Metairie, LA
  • NPI 1104038439
  Medicare reassignment NPD Authorized official
• William P. Coleman III, M.D.

  • Procedural Dermatology Physician
  • Metairie, LA
  • NPI 1861585283
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1043768427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 CONLIN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062181",
            "telephone_number": "504-455-3180",
            "fax_number": "504-885-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 CONLIN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062181",
            "telephone_number": "504-455-3180",
            "fax_number": "504-885-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY NOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-455-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Depaula, M.D.
• Melissa Deramus, RN, BSN, FCPI
• Amna Dereese
• Dermasurgery Center, LLC
• Dermatology Center, LLC
• Mary C Dermody, LPC,LMFT,NCC,MA
• Kelly Deroche, MA, BCBA, LBA, PLPC
• Madison Anne Deroche
• Melissa D. Deroche, NCC, LPC, LMFT
• Liza Derosia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.