Active NPI
Gulf South Medical & Surgical Institute
- Dermatopathology Physician
- Kenner, LA
National Provider Identifier
1104862085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 207ND0900X
- Legal business name
- GULF SOUTH MEDICAL & SURGICAL INSTITUTE
- Practice address
- 3705 Florida Ave
Kenner, LA 70065-3031 - Phone
- (504) 471-3100
- Fax
- (504) 471-3109
- NPI assigned
- Jun 21, 2006
- 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. George A. Farber, M.D.
- Title
- Director
- Phone
- (504) 471-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 207ND0900X | LA | Primary |
Addresses
Primary practice location
3705 Florida Ave
Kenner, LA 70065-3031
Mailing address
PO Box 459
Kenner, LA 70063-0459
Phone (504) 471-3100
National Provider Directory
National Provider Directory- Tax ID family
- Gulf South Medical Surgical Institute
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Covington, LA
- NPI 1437320231
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Specialist
- Covington, LA
- NPI 1437320231
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Slidell, LA
- NPI 1780750802
-
- Procedural Dermatology Physician
- Kissimmee, FL
- NPI 1942290499
-
- Otolaryngology Physician
- Apollo Beach, FL
- NPI 1932167947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104862085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "KENNER",
"state": "LA",
"postal_code": "700630459",
"telephone_number": "504-471-3100",
"fax_number": "504-471-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 FLORIDA AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700653031",
"telephone_number": "504-471-3100",
"fax_number": "504-471-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF SOUTH MEDICAL & SURGICAL INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARBER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "504-471-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "LA",
"license": "207ND0900X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.