Organization Active NPI

Skin Care Specialists Apmc

  • Procedural Dermatology Physician
  • Slidell, LA
National Provider Identifier
1538169420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
053107 Issued in LA
Legal business name
SKIN CARE SPECIALISTS APMC
Practice address
1051 Gause Blvd
Suite 460
Slidell, LA 70458-2951
Phone
(985) 649-5880
Fax
(985) 649-5369
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth I. McBurney, M.D.
Title
President
Phone
(985) 649-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X 053107 LA Primary

Addresses

Primary practice location

1051 Gause Blvd
Suite 460
Slidell, LA 70458-2951

Mailing address

1051 Gause Blvd
Suite 460
Slidell, LA 70458-2951
Phone (985) 649-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000189 LA Part B Supplier - Clinic/Group Practice 9931291515 Receives reassigned benefits from 3 practitioners
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

601 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 232-3576

1051 Gause Blvd
Ste 460
Slidell, LA 70458
Phone (985) 649-5880

2050 Gause Blvd E
Ste 100
Slidell, LA 70461
Phone (985) 649-5880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538169420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 460",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-649-5880",
            "fax_number": "985-649-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 460",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-649-5880",
            "fax_number": "985-649-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CARE SPECIALISTS APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBURNEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-649-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "053107",
            "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 Aug 22, 2020; 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.