NPIMap

Organization Active NPI

Soine Medical Enterprises, LLC

Doing business as Soine Dermatology and Aesthetics

  • Dermatology Physician
  • Covington, LA
National Provider Identifier
1871928051
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD203205 Issued in LA
Legal business name
SOINE MEDICAL ENTERPRISES, LLC
Doing business as
Soine Dermatology and Aesthetics
Practice address
1441 Ochsner Blvd
Covington, LA 70433-8110
Phone
(985) 400-5551
Fax
(985) 400-5428
NPI assigned
Sep 6, 2013
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Dr. Erik John Soine, M.D.NPI 1447410550
Title
Owner
Phone
(504) 621-7158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD203205 LA Primary

Addresses

Primary practice location

1441 Ochsner Blvd
Covington, LA 70433-8110

Mailing address

1441 Ochsner Blvd
Covington, LA 70433-8110
Phone (985) 400-5551

Other practice location 1

42421 Pelican Professional Park
Hammond, LA 70403-2405
Phone (985) 400-5551

Other names 1

  • Soine Dermatology and Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130925000257 LA Part B Supplier - Clinic/Group Practice 0840434205 Receives reassigned benefits from 8 practitioners
Practice locations: Hammond, LA; Covington, LA
O20251205003734 MS Part B Supplier - Clinic/Group Practice 0840434205 Receives reassigned benefits from 2 practitioners
Practice locations: McComb, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2287269Soine Medical Enterprises LLC42421 Pelican Professional Park, Hammond, LA 70403RegistrationMay 31, 2028

National Provider Directory

National Provider Directory

Locations

42421 Pelican Professional Park
Hammond, LA 70403
Phone (985) 400-5551

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1871928051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-400-5551",
            "fax_number": "985-400-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-400-5551",
            "fax_number": "985-400-5428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42421 Pelican Professional Park",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704032405",
            "country_code": "US",
            "telephone_number": "985-400-5551",
            "fax_number": "985-662-5016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOINE MEDICAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "SOINE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-621-7158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD203205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soine Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soine Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.