NPIMap

Organization Active NPI

Hammond Dermatology Center, LLC

  • Specialist
  • Hammond, LA
National Provider Identifier
1962582577
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9020 Issued in LA
Legal business name
HAMMOND DERMATOLOGY CENTER, LLC
Practice address
15709 Professional PLZ
Hammond, LA 70403-1452
Phone
(985) 542-9333
Fax
(985) 542-4988
NPI assigned
Oct 17, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Frank Patrick Henchy III, M.D.NPI 1972590164
Title
Owner
Phone
(985) 542-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9020 LA Primary

Addresses

Primary practice location

15709 Professional PLZ
Hammond, LA 70403-1452

Mailing address

15709 Professional PLZ
Hammond, LA 70403-1452
Phone (985) 542-9333

Other identifiers 3

IdentifierTypeStateIssuer
4093595OtherLAAETNA PROVIDER #
439748825BOtherLABLUE BROSS OF LA.
1443841MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1962582577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15709 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-542-9333",
            "fax_number": "985-542-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15709 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-542-9333",
            "fax_number": "985-542-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND DERMATOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HENCHY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-542-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "9020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4093595",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE BROSS  OF LA.",
            "identifier": "439748825B",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.