Organization Active NPI

Gulf South Medical & Surgical Institute

  • Dermatopathology Physician
  • Kenner, LA
National Provider Identifier
1104862085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
207ND0900X Issued in LA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Practitioners & affiliated clinicians

Practitioners 3

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

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.

Verify at the official NPI Registry.