Pure Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PURE DERMATOLOGY LLC

Practice address

3100 Galleria Dr Ste 203
Metairie, LA 70001-2196

Phone

(504) 226-7873

Fax

(504) 704-1639

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Kate Holcomb, MD

Title

Owner

Phone

(504) 226-7873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cherie Montero Albro, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1679027494
  Medicare reassignment Care Compare group NPD
• Mara Alena Haseltine, M.D.

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1336317379
  Medicare reassignment Care Compare group NPD
• Katherine Zibilich Holcomb, M.D.

  • Dermatology Physician
  • Metairie, LA
  • NPI 1861668808
  Medicare reassignment Care Compare group NPD
• Donna Lynn Lackore Swanson, PA-C

  • Physician Assistant
  • Alexandria, VA
  • NPI 1699789859

  LA

  Medicare reassignment

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1750844361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-226-7873",
            "fax_number": "504-704-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-226-7873",
            "fax_number": "504-704-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-226-7873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Richard Puente, M.D.
• Joseph H. Puente, MD
• Marco T Puente
• Pupils Optical LLC
• Pur Therapeutics LLC
• Laila Pyo
• Sarah Qayum, MD
• Quinn Peter Quaglino
• Caroline Quaid, BCBA, LBA
• Mindy Manzella Quaintance, MSN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.