Individual provider Active NPI

Stephen John Klinger, M.D., M.P.H.

  • Dermatology Physician
  • New Orleans, LA
National Provider Identifier
1356531677
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200999 Issued in LA
Practice address
450 A South Claiborne Ave., Ste. 206
New Orleans, LA 70112
Phone
(614) 937-0319
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200999 LA Primary

Addresses

Primary practice location

450 A South Claiborne Ave., Ste. 206
New Orleans, LA 70112

Mailing address

1107 South Peters Street
Unit 404
New Orleans, LA 70130

Other identifiers 1

IdentifierTypeStateIssuer
1216887MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000510 LA Practitioner - Dermatology 9436201381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klinger and Marshall Dermatology, LLCGroup PAC ID 0244474625, 2 clinicians

Practice addresses (Care Compare)

2600 Belle Chasse Hwy
Suite 202
Gretha, LA 70056-7156

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions706
Removal or shaving of skin growth105
Skin biopsy183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200999LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klinger & Marshall Dermatology, LLC Dermatology CurrentSince Jul 1, 2013 Accepting new patients
Crescent City Dermatology, LLC Dermatology Past Accepting new patients

Locations

2600 Belle Chasse Hwy
Ste 202
Terrytown, LA 70056
Phone (504) 393-4710

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1356531677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SOUTH PETERS STREET",
            "address_2": "UNIT 404",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 A SOUTH CLAIBORNE AVE., STE. 206",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "614-937-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "200999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216887",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.