Myers Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD202110 Issued in LA

Legal business name

MYERS DERMATOLOGY LLC

Practice address

5701 Ambassador Caffery Pkwy
Youngsville, LA 70592-5181

Phone

(337) 456-3323

Fax

(337) 456-4638

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Mary Myers, MDNPI 1902007123

Title

Dermatologist

Phone

(337) 205-1914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 6

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

• Jennifer Myers, MD

  • Dermatology Physician
  • Youngsville, LA
  • NPI 1902007123
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Ann Emfinger, PA

  • Physician Assistant
  • New Orleans, LA
  • NPI 1275152647
  Medicare reassignment Care Compare group NPD
• Tyson Meaux

  • Dermatology Physician
  • Lafayette, LA
  • NPI 1982098836
  Medicare reassignment Care Compare group NPD
• Evan Phillips, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lafayette, LA
  • NPI 1184196784
  Medicare reassignment Care Compare group NPD
• Eden Desiree Etcheverria, PA

  • Physician Assistant
  • Franklin, LA
  • NPI 1801314315
  Medicare reassignment Care Compare group
• Cory Etheredge Sehrt, PA

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1215562517

  LA

  Medicare reassignment

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1114255965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 AMBASSADOR CAFFERY PKWY",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925181",
            "telephone_number": "337-456-3323",
            "fax_number": "337-456-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 AMBASSADOR CAFFERY PKWY",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925181",
            "telephone_number": "337-456-3323",
            "fax_number": "337-456-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "337-205-1914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD202110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Morvant
• Yulisa Mouton
• Emilie Larroque Muffoletto
• Kaleb Jordan Murray, DDS
• Adrienne Musumeche
• Myers Dermatology LLC
• Candice Myers, WHNP, PMHNP
• Jennifer Myers, MD
• Myla Narcisse
• Amber Neil

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.

Verify at the official NPI Registry.