Family Dermatology Specialists, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FAMILY DERMATOLOGY SPECIALISTS, LLC

Practice address

3421 N Causeway Boulevard
Suite 202
Metairie, LA 70002-3759

Phone

(504) 832-6612

Fax

(504) 832-6613

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Terry G Northcott

Title

Office Manager

Phone

(504) 832-6612

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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

• Tamela L Charbonnet, M.D.

  • Dermatology Physician
  • Houma, LA
  • NPI 1215934401
  Medicare reassignment Care Compare group NPD
• Leonard E. Gately III, MD

  • Dermatology Physician
  • Metairie, LA
  • NPI 1528089547
  Medicare reassignment Care Compare group NPD
• Michelle S Gerdes, MD

  • Dermatology Physician
  • Metairie, LA
  • NPI 1376566380
  Medicare reassignment Care Compare group NPD
• Leah Gonsoulin Jacob, M.D.

  • Dermatology Physician
  • Metairie, LA
  • NPI 1902047988
  Medicare reassignment Care Compare group NPD
• Diane Ngan Trieu, MD

  • MOHS-Micrographic Surgery Physician
  • Harvey, LA
  • NPI 1376710913

  Dermatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1235678558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD",
            "address_2": "SUITE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023759",
            "telephone_number": "504-832-6612",
            "fax_number": "504-832-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BOULEVARD",
            "address_2": "SUITE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023759",
            "telephone_number": "504-832-6612",
            "fax_number": "504-832-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DERMATOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "NORTHCOTT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-832-6612",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207N00000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Falgout
• Brittany Faller
• John Adams Faller, DDS
• Erica Falls
• Kyle Timothy Falvey
• Family Helpers of Greater New Orleans
• Family Helpers of Greater New Orleans
• Family Helpers of Greater New Orleans
• Family Homecare, Inc.
• Family Preservation Services

• Dermatology Physician in Metairie, LA
• Providers in Metairie, 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 20, 2017; 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.

Verify at the official NPI Registry.