Eric N. Tabor, M.D. a.P.M.C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ERIC N. TABOR, M.D. A.P.M.C

Doing business as

Northshore Dermatology

Practice address

2780 Gause Blvd E
Suite a
Slidell, LA 70461-4149

Phone

(985) 641-5198

Fax

(985) 641-5398

NPI assigned

Jun 19, 2006

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Neal Tabor, M.D.NPI 1588627244

Title

Physician

Phone

(985) 641-5198

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northshore Dermatology Doing business as

Locations

Practitioners 4

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.

• Eric Neal Tabor, M.D.

  • Dermatology Physician
  • Slidell, LA
  • NPI 1588627244
  Authorized official Same address or phone
• Nicole Julie Dufrechou, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1720123078
  NPD (past)
• Shannon C Pickens, MD

  • Dermatology Physician
  • Metairie, LA
  • NPI 1720267560
  NPD (past)
• Alan Gregory Crawford, PA

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1720048002
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1689619017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 GAUSE BLVD E",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614149",
            "telephone_number": "985-641-5198",
            "fax_number": "985-641-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 GAUSE BLVD E",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614149",
            "telephone_number": "985-641-5198",
            "fax_number": "985-641-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC N. TABOR, M.D. A.P.M.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-641-5198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1695149",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119852",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Endodontic Associates LLC
• Dominic Michael Engolia
• Laura Entrekin, NP
• Joseph M Epps, MD
• Thaddeus Ray Erato, M.D.
• Helene Marguerite Erickson, MD, PHD
• Amanda Ernst, M.S., CCC-SLP
• Wesley Errington
• Amanda M Erwin
• Elizabeth A Erwin, OCCUPATIONAL THERAPY

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.