Individual provider Active NPI

Laura Conway Williams, M.D.

  • Dermatology Physician
  • Metairie, LA
National Provider Identifier
1548330202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
022581 Issued in LA
Practice address
3800 Houma Blvd
Suite 310
Metairie, LA 70006-4182
Phone
(504) 454-2997
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 022581 LA Primary

Addresses

Primary practice location

3800 Houma Blvd
Suite 310
Metairie, LA 70006-4182

Mailing address

3800 Houma Blvd
Suite 310
Metairie, LA 70006-4182
Phone (504) 454-2997

Other identifiers 1

IdentifierTypeStateIssuer
1490709MedicaidLA

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
I20061219000060 LA Practitioner - Dermatology 7113926254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermasurgery Center LLCGroup PAC ID 8022182922, 6 clinicians

Practice addresses (Care Compare)

701 Metairie Rd
Metairie, LA 70005-4050
Phone (504) 836-2050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions421
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022581LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jan 1, 2017 Accepting new patients
Dermasurgery Center, LLC Dermatology CurrentSince Apr 17, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 1, 2017 Accepting new patients
Children's Hospital CurrentSince Jan 3, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 1, 2017 Accepting new patients
Poole Dermatology a Professional Medical Corporation Dermatology Past Accepting new patients
T & G Dermatology Apmc Dermatology PastSince Apr 1, 2008 Accepting new patients
Dege PastSince Aug 2, 2020 Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 406
Covington, LA 70433
Phone (985) 892-9143

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

1245 Camellia Blvd
Ste 300
Lafayette, LA 70508
Phone (337) 839-2773

111 Veterans Memorial Blvd
Ste 406
Metairie, LA 70005
Phone (504) 838-8225

701 Metairie Rd
Ste 2A205
Metairie, LA 70005
Phone (504) 836-2050

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 8

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548330202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 310",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-454-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 310",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-454-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURA",
        "middle_name": "CONWAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "022581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490709",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.