The Skin Surgery Centre, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE SKIN SURGERY CENTRE, LLC

Practice address

1615 Metairie Rd
Suite 101
Metairie, LA 70005-3974

Phone

(504) 644-4226

NPI assigned

Apr 16, 2013

Last updated

Mar 23, 2017By 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. Keith G Leblanc Jr., M.D.NPI 1972765493

Title

Owner

Phone

(504) 756-2347

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Keith Gerard Leblanc Jr., M.D.

  • MOHS-Micrographic Surgery Physician
  • Metairie, LA
  • NPI 1972765493

  MS

  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth F Bucher, M.D.

  • MOHS-Micrographic Surgery Physician
  • Metairie, LA
  • NPI 1295995546

  MS

  Medicare reassignment Care Compare group NPD
• Surget Cox

  • MOHS-Micrographic Surgery Physician
  • Mandeville, LA
  • NPI 1528509742

  MS

  Medicare reassignment Care Compare group NPD
• Randall Corey Rougelot, M.D.

  • MOHS-Micrographic Surgery Physician
  • Metairie, LA
  • NPI 1679815450

  MS

  Medicare reassignment Care Compare group NPD
• Scott Dunbar, M.D.

  • MOHS-Micrographic Surgery Physician
  • Asheville, NC
  • NPI 1992029888

  LA

  Medicare reassignment
• Rachael Marie Delahoussaye-Shields, M.D.

  • Dermatology Physician
  • Metairie, LA
  • NPI 1316233422
  NPD (past)
• Erik J Soine, M.D.

  • Dermatology Physician
  • Covington, LA
  • NPI 1447410550
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1730522087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 METAIRIE RD",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053974",
            "telephone_number": "504-644-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 METAIRIE RD",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053974",
            "telephone_number": "504-644-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKIN SURGERY CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-756-2347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.