Audubon Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23129869 Issued in LA

Legal business name

AUDUBON DERMATOLOGY, LLC

Practice address

3525 Prytania St
Suite 501
New Orleans, LA 70115-3500

Phone

(504) 895-3376

Fax

(504) 910-3350

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Cenac Jackson, M.D.NPI 1790724326

Title

Member

Phone

(504) 895-3376

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 3

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

• Sarah Cenac Jackson, M.D.

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1790724326
  Medicare reassignment Care Compare group NPD Authorized official
• Deirdre Hooper, M.D.

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1114973617
  Medicare reassignment Care Compare group NPD
• Sarah Joyner Robertson, APRN

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1245919836
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760413868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 501",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-895-3376",
            "fax_number": "504-910-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 501",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-895-3376",
            "fax_number": "504-910-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "CENAC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-895-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": "23129869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Aucoin, NP
• Katherine Jeanne Aucoin, PH.D.
• Tanya Aucoin
• Audibel Hearing Healthcare
• Gail Audrict
• Audubon Fertility and Reproductive Medicine
• Audubon Fertility and Reproductive Medicine. L.L.C.
• Audubon Fertility Laboratory
• Audubon Fertility, LLC
• Audubon Health Specialty, L.L.C.

• Dermatology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dermatology Physician in Louisiana

• 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.
• 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.