Northshore Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NORTHSHORE DERMATOLOGY, LLC

Practice address

393 Highway 21 Ste 550
Madisonville, LA 70447-3447

Phone

(985) 641-5198

Fax

(866) 755-7181

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Eric Tabor, MDNPI 1588627244

Title

Authorized Official

Phone

(985) 641-5198

Specialties & licenses 1

Addresses

Other names 1

• Northshore Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Enrollment records 2

Locations

Practitioners 8

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

• Eric Neal Tabor, M.D.

  • Dermatology Physician
  • Slidell, LA
  • NPI 1588627244

  MS

  Medicare reassignment Care Compare group NPD Authorized official
• Brandi Britt

  • Nurse Practitioner
  • Slidell, LA
  • NPI 1649007428

  MS

  Medicare reassignment Care Compare group NPD
• Melanie Nuss, APRN

  • Family Nurse Practitioner
  • Covington, LA
  • NPI 1710916978

  MS

  Medicare reassignment Care Compare group NPD
• David Allen Pate I, M.D.

  • Dermatology Physician
  • Slidell, LA
  • NPI 1255697090

  MS

  Medicare reassignment Care Compare group NPD
• Ashlyn Schneider

  • Nurse Practitioner
  • Hammond, LA
  • NPI 1750165155
  Medicare reassignment Care Compare group NPD
• Kristin Louviere, FNP

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1902304348
  Medicare reassignment
• Hope Gonzalez Morgan

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1720928500
  Medicare reassignment
• Animesh Amart Sinha, M.D

  • Dermatology Physician
  • Williamsville, NY
  • NPI 1285733014
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1194479725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 HIGHWAY 21 STE 550",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473447",
            "telephone_number": "985-641-5198",
            "fax_number": "866-755-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 HIGHWAY 21 STE 550",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473447",
            "telephone_number": "985-641-5198",
            "fax_number": "866-755-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6353 Highway 11 N",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394667868",
            "country_code": "US",
            "telephone_number": "601-749-9500",
            "fax_number": "866-755-7181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Gause Blvd E",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614250",
            "country_code": "US",
            "telephone_number": "985-641-5198",
            "fax_number": "866-755-7181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Hewitt Rd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704036076",
            "country_code": "US",
            "telephone_number": "985-340-4198",
            "fax_number": "866-755-7181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSHORE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "985-641-5198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Nalesnik, CCC-SLP
• Nephrology and Wellness LLC
• Neural Protection Services
• Mary Newell
• Harvey J Nicaud Jr., D.C.
• Northshore OB-GYN, Apmc
• Carmen C. O'Mara
• Garland Simon Ogden, APRN
• William Howard Ollendike, LPC-S
• Nicholas Owens, ATC, LAT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.