Red River Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

025604 Issued in LA

Legal business name

RED RIVER DERMATOLOGY

Practice address

3335 Prescott Rd
Alexandria, LA 71301-3916

Phone

(318) 442-9395

Fax

(318) 442-9548

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Pratt Berry Long, MD

Title

Owner

Phone

(318) 442-9395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386790376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 PRESCOTT RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013916",
            "telephone_number": "318-442-9395",
            "fax_number": "318-442-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 PRESCOTT RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013916",
            "telephone_number": "318-442-9395",
            "fax_number": "318-442-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PRATT BERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-442-9395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": "025604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red River Associates LLC
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• Red River Cardiac Imaging, LLC
• Red River Cardiology, LLC
• Red River Dental LLC
• Red River Pharmacy Div. of Rapides Regional Medical Center
• Red River Sleep Center, Inc
• Red River Sleep Center, Inc
• Red River Sleep Center, Inc
• Samantha Morris Redfield, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.