NPIMap

Organization Active NPI

Hospital Service District 1 of East Baton Rouge Parish

Doing business as Lane Regional Medical Center-Lane Dermatology

  • Dermatology Physician
  • Zachary, LA
National Provider Identifier
1992477111
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Doing business as
Lane Regional Medical Center-Lane Dermatology
Practice address
4801 McHugh Rd Ste C
Zachary, LA 70791-5364
Phone
(225) 658-4065
Fax
(225) 570-2986
NPI assigned
Oct 5, 2021
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Frank A Corcoran
Title
Chief Executive Officer
Phone
(225) 658-4303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

4801 McHugh Rd Ste C
Zachary, LA 70791-5364

Mailing address

PO Box 674924
Dallas, TX 75267-4924

Other names 1

  • LANE REGIONAL MEDICAL CENTER-LANE DERMATOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000429 LA Part B Supplier - Clinic/Group Practice 0941191902 Receives reassigned benefits from 76 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zachary, LA
O20070918000362 LA Part A Provider - Hospital 0941191902 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zachary, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992477111. Details of each certification follow.

Hospital certification: CCN 190020

Legal name
HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH
Doing business as
LANE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 24, 2024
Beds
166
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
6300 Main St
Zachary, LA 70791-4037
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Lane Regional Medical CenterCCN 190020 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Hosp SVC District 121 organizations share this tax ID, including this one
Part of
Hosp SVC District 1

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frank Ashton Corcoran Individual Corporate DirectorChief Executive Officer Jan 13, 2025
Operational/Managerial ControlChief Executive Officer Jan 13, 2025

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.

Affiliated clinicians 266

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 266

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1992477111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674924",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCHUGH RD STE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915364",
            "telephone_number": "225-658-4065",
            "fax_number": "225-570-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-658-4303"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANE REGIONAL MEDICAL CENTER-LANE DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.