Dermatology and Allergy Clinic of South Louisiana LTD Apmc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY AND ALLERGY CLINIC OF SOUTH LOUISIANA LTD APMC

Practice address

4212 W Congress St
Ste 2300
Lafayette, LA 70506-6765

Phone

(337) 981-7546

Fax

(337) 988-2037

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adrien A Stewart, MD

Title

Director

Phone

(337) 981-7546

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Martha E Stewart, MD

  • Dermatology Physician
  • Mandeville, LA
  • NPI 1972535284
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1083648919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53709",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053709",
            "telephone_number": "337-981-7546",
            "fax_number": "337-988-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "STE 2300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-981-7546",
            "fax_number": "337-988-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND ALLERGY CLINIC OF SOUTH LOUISIANA LTD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ADRIEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-981-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941344",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Der Avedissian, MS, MD
• Carl S. Deranger, CRNA
• Bobbi Eugenia Deras, NP
• Derek Baumbouree, MD, Apmc
• Claire Kaufman Derge, OT
• Dermatology Center of Acadiana LLC
• Brandi Armentor Derouen
• Charli Rhea Derouen, MS, LAC, CCS
• Germaine Derouen, LCSW
• Lauren B Derouen, MS, RD, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.