Active NPI
David Allen Pate I, M.D.
- Dermatology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 304266
- Practice address
- 2780 Gause Blvd E
Slidell, LA 70461-4250 - Phone
- (985) 641-5198
- NPI assigned
- Apr 5, 2012
- Last updated
- May 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 24733 | MS | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 304266 | LA | |
| Dermatology Physician | 207N00000X | 304266 | LA | Primary |
Addresses
Primary practice location
2780 Gause Blvd E
Slidell, LA 70461-4250
Mailing address
2780 Gause Blvd E
Slidell, LA 70461-4250
Phone (225) 252-1674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical School at San Antonio, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
393 Hwy 21
Suite 550
Madisonville, LA 70447-3447
Phone (985) 792-5959
6353 Hwy 11 N
Picayune, MS 39466-7868
Phone (601) 749-9500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 130 |
| Removal of skin lesions | 778 |
| Removal of skin cancer | 528 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 430 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Dermatology, LLC | Dermatology | Current | Accepting new patients |
| Eric N. Tabor, M.D. a.P.M.C | Dermatology | Current | Accepting new patients |
Locations
1606 S Magnolia St
Hammond, LA 70403
Phone (985) 340-4198
393 Highway 21
Ste 550
Madisonville, LA 70447
Phone (985) 641-5198
2780 Gause Blvd E
Slidell, LA 70461
Phone (985) 379-7991
2780 Gause Blvd E
Ste A
Slidell, LA 70461
Phone (985) 641-5198
6353 Highway 11 N
Picayune, MS 39466
Phone (601) 749-9500
Interoperability endpoints
- dpate@directaddress.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northshore Dermatology
- Dermatology Physician
- Madisonville, LA
- NPI 1194479725
MS
-
dba Pearl River Dermatology
- Dermatology Physician
- Picayune, MS
- NPI 1235174301
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland Community Hospital
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
dba Enhabit Home Health & Hospice
- Home Health Agency
- Hattiesburg, MS
- NPI 1760416754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1255697090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614250",
"telephone_number": "225-252-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614250",
"telephone_number": "985-641-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MS",
"license": "24733",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "LA",
"license": "304266",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "304266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.