Individual provider Active NPI

Tom J Meek Jr., MD

  • Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1053308692
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
010599 Issued in LA
Practice address
5326 O'Donovan Drive
Baton Rouge, LA 70808-4388
Phone
(225) 769-7546
Fax
(225) 769-0471
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 010599 LA Primary

Addresses

Primary practice location

5326 O'Donovan Drive
Baton Rouge, LA 70808-4388

Mailing address

5326 O'Donovan Drive
Baton Rouge, LA 70808-4388
Phone (225) 769-7546

Other identifiers 1

IdentifierTypeStateIssuer
1130559MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000426 LA Practitioner - Dermatology 2961413224 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
010599LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jan 1, 2016 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2016 Accepting new patients
Dermatology Clinic a Professional Medical Corporation Dermatology CurrentSince Jul 1, 1976 Accepting new patients

Locations

5247 Didesse Dr
Baton Rouge, LA 70808
Phone (225) 765-2273

5326 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 768-2850

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1053308692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 O'DONOVAN DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 O'DONOVAN DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "TOM",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "010599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.