Individual provider Active NPI

Mary Margaret Dobson, MD

  • Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1952392318
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
023067 Issued in LA
Practice address
5326 Odonovan Drive
Baton Rouge, LA 70808-1452
Phone
(225) 769-7546
Fax
(225) 769-0471
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 023067 LA Primary

Addresses

Primary practice location

5326 Odonovan Drive
Baton Rouge, LA 70808-1452

Mailing address

5326 Odonovan Drive
Baton Rouge, LA 70808-1452
Phone (225) 769-7546

Other identifiers 1

IdentifierTypeStateIssuer
1483907MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000014 LA Practitioner - Dermatology 1557300811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic a Professional Medical CorporationGroup PAC ID 6103856661, 13 clinicians

Practice addresses (Care Compare)

5326 O Donovan Dr
Baton Rouge, LA 70808-4691

5326 Odonovan Dr
Baton Rouge, LA 70808-4691
Phone (225) 769-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
84.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions497
Removal or shaving of skin growth1-10
Skin biopsy253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023067LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Clinic a Professional Medical Corporation Dermatology CurrentSince May 15, 2007 Accepting new patients
Mary M Dobson MD LLC Dermatology PastSince Jan 20, 2005 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

5326 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 768-2850

5000 Odonavan Blvd
Ste 315
Walker, LA 70785
Phone (225) 769-7546

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1952392318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 ODONOVAN DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081452",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 ODONOVAN DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081452",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "023067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483907",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.