Active NPI
Grafton Dermatology and Cosmetic Surgery
- Specialist
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 022623
- Legal business name
- GRAFTON DERMATOLOGY AND COSMETIC SURGERY
- Practice address
- 327 Bayou Gardens Blvd
Houma, LA 70364-1434 - Phone
- (985) 876-5000
- Fax
- (985) 876-5280
- NPI assigned
- Oct 12, 2006
- Last updated
- Feb 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Hoye Grafton, MD
- Title
- Ceo
- Phone
- (985) 876-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 023735 | LA | |
| Specialist | 174400000X | A10451 | LA | |
| Specialist | 174400000X | 022623 | LA | Primary |
Addresses
Primary practice location
327 Bayou Gardens Blvd
Houma, LA 70364-1434
Mailing address
327 Bayou Gardens Blvd
Houma, LA 70364-1434
Phone (985) 876-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1441953 | Medicaid | LA | |
| 4359897160 | Other | LA | B;UE CROSS DR. CHARBONNET |
| 435061414A | Other | LA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
327 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 876-5000
1216 N Victor II Blvd
Ste 200
Morgan City, LA 70380
Phone (866) 493-8899
1253 Canal Blvd
Thibodaux, LA 70301
Phone (985) 493-8899
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Dermatology Physician
- Houma, LA
- NPI 1700881141
-
- Dermatology Physician
- Houma, LA
- NPI 1215934401
-
- Dermatology Physician
- Houma, LA
- NPI 1053595702
-
- Medical Physician Assistant
- Houma, LA
- NPI 1649277047
-
- Physician Assistant
- Houma, LA
- NPI 1235366089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392854400000",
"number": "1053400416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BAYOU GARDENS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703641434",
"telephone_number": "985-876-5000",
"fax_number": "985-876-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BAYOU GARDENS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703641434",
"telephone_number": "985-876-5000",
"fax_number": "985-876-5280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAFTON DERMATOLOGY AND COSMETIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2014-02-20",
"status": "A",
"authorized_official_last_name": "GRAFTON",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "HOYE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "985-876-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "023735",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "A10451",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "022623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1441953",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B;UE CROSS DR. CHARBONNET",
"identifier": "4359897160",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "435061414A",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.