Active NPI
Duke Neal Medical, LLC
- Dermatology Physician
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DUKE NEAL MEDICAL, LLC
- Practice address
- 12 Professional Dr
Houma, LA 70360-4046 - Phone
- (985) 868-1810
- Fax
- (985) 876-3670
- NPI assigned
- Aug 2, 2019
- 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. Philip Mark Neal, MD
- Title
- Manager, Member
- Phone
- (985) 868-1810
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
12 Professional Dr
Houma, LA 70360-4046
Mailing address
12 Professional Dr
Houma, LA 70360-4046
Phone (985) 868-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190903002852 | LA | Part B Supplier - Clinic/Group Practice | 3779812557 |
Receives reassigned benefits from 3 practitioners Practice locations: Houma, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0689175 | Duke Neal Medical, LLC | Compliance | Oct 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
1151 Marguerite St
Ste 900
Morgan City, LA 70380
Phone (985) 380-4795
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obesity Medicine (Internal Medicine) Physician
- Houma, LA
- NPI 1659563054
Internal Medicine, LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564704000000",
"number": "1194370536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PROFESSIONAL DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604046",
"telephone_number": "985-868-1810",
"fax_number": "985-876-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PROFESSIONAL DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604046",
"telephone_number": "985-868-1810",
"fax_number": "985-876-3670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUKE NEAL MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "MANAGER, MEMBER",
"authorized_official_telephone_number": "985-868-1810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.