Active NPI
Dimitri Orgeron Medical, LLC
Doing business as The Dimitri Clinic - Foley
- General Practice Physician
- Foley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 32590
- Legal business name
- DIMITRI ORGERON MEDICAL, LLC
- Doing business as
- The Dimitri Clinic - Foley
- Practice address
- 1506 N McKenzie St
Suite 106
Foley, AL 36535-2261 - Phone
- (985) 643-4512
- Fax
- (985) 643-4513
- NPI assigned
- May 2, 2013
- Last updated
- Nov 13, 2015
- 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
- Elizabeth M. Dimitri, D.O.
- Title
- Physician/Owner
- Phone
- (985) 643-4512
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 32590 | AL | Primary |
Addresses
Primary practice location
1506 N McKenzie St
Suite 106
Foley, AL 36535-2261
Mailing address
2104 Gause Blvd W
Suite a
Slidell, LA 70460-4130
Phone (985) 643-4512
Other names 1
- The Dimitri Clinic - Foley
National Provider Directory
National Provider DirectoryLocations
1506 N McKenzie St
Ste 106
Foley, AL 36535
Phone (251) 970-2265
2104 Gause Blvd W
#A
Slidell, LA 70460
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Acute Care Nurse Practitioner
- Ocean Springs, MS
- NPI 1316963911
-
- General Practice Physician
- Slidell, LA
- NPI 1003128463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447372800000",
"number": "1083059190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 GAUSE BLVD W",
"address_2": "SUITE A",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704604130",
"telephone_number": "985-643-4512",
"fax_number": "985-643-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N MCKENZIE ST",
"address_2": "SUITE 106",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352261",
"telephone_number": "985-643-4512",
"fax_number": "985-643-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMITRI ORGERON MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-02",
"last_updated": "2015-11-13",
"status": "A",
"authorized_official_last_name": "DIMITRI",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "985-643-4512",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "32590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Dimitri Clinic - Foley",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.