Dermatology and Skin Surgery Clinic

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY AND SKIN SURGERY CLINIC

Practice address

201 4TH St
Suite 4B
Alexandria, LA 71301-8421

Phone

(318) 449-8600

Fax

(318) 449-1461

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George B Ingrish, MDNPI 1154344513

Title

Physician President

Phone

(318) 449-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• George B Ingrish, MD

  • Dermatology Physician
  • Alexandria, LA
  • NPI 1154344513
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca S Giles, MD FAAP

  • Dermatology Physician
  • Alexandria, LA
  • NPI 1447273800
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1790708154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH ST # 30127",
            "address_2": "SUITE 4-B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-449-8600",
            "fax_number": "318-449-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST",
            "address_2": "SUITE 4B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-449-8600",
            "fax_number": "318-449-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SKIN SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "INGRISH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "318-449-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI9696",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Denay Delrie, APRN, FNP-C
• Delta Rehab Services, LLC
• Thomas Denley, M.D.
• Fyionne Dennis
• Gyionne Dennis
• Cody Lowell Deshotel
• Derek J. Deshotel, CRNA
• Candice Coco Desselle, APRN
• Lisa Desselle
• Ashley Desselles

• Dermatology Physician in Alexandria, LA
• Providers in Alexandria, 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 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.