Active NPI
Dermatology Associates Inc. Apmc
- Dermatology Physician
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 024992
- Legal business name
- DERMATOLOGY ASSOCIATES INC. APMC
- Practice address
- 324 Circle Drive
West Monroe, LA 71291-5308 - Phone
- (318) 322-3535
- NPI assigned
- Apr 3, 2007
- Last updated
- Oct 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia P Lewis, M.D.
- Title
- President
- Phone
- (318) 322-3535
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 024992 | LA | Primary |
Addresses
Primary practice location
324 Circle Drive
West Monroe, LA 71291-5308
Mailing address
324 Circle Drive
West Monroe, LA 71291-5308
Phone (318) 322-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1423238 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1026660 | Dermatology Associates | Provider-performed microscopy | Jun 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
324 Circle Dr
West Monroe, LA 71291
Phone (318) 322-3535
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatology Physician
- West Monroe, LA
- NPI 1528027620
-
- Medical Physician Assistant
- West Monroe, LA
- NPI 1821956715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1891816286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CIRCLE DRIVE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915308",
"telephone_number": "318-322-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 CIRCLE DRIVE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915308",
"telephone_number": "318-322-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES INC. APMC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-322-3535",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "LA",
"license": "024992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1423238",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
- Varnado Delmore, M.S.
- Timarie Elisabeth Delony
- Delta Diagnostics and Health Resources, Inc
- Natalie Demoss, APRN-CPNP
- Department of Health and Hospitals (OBH-Southern Oaks Addiction Recovery and Starting Point Detox)
- Kayla Smith Deshotel, D.C
- Amber Deutsch
- Laura M Devasier, LCSW
- Rachel Dew
- Megan Diaz, PLPC, PLMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.