CRESCENT CITY DERMATOLOGY, LLC – NPI #1518100312
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CRESCENT CITY DERMATOLOGY, LLC is a dermatologist located in GRETNA, LA. NPPES has assigned the NPI number 1518100312 to CRESCENT CITY DERMATOLOGY, LLC on April 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 17 years ago on Apr 15, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRESCENT CITY DERMATOLOGY, LLC below.

NPI Profile for
CRESCENT CITY DERMATOLOGY, LLC

NPI Number
1518100312
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRESCENT CITY DERMATOLOGY, LLC
Primary location
120 MEADOWCREST ST
SUITE 460
GRETNA, LA 70056-5255
Phone: (614) 937-0319 Fax:
Mailing address
1107 S PETERS ST
UNIT 404
NEW ORLEANS, LA 70130-1759
Phone: (614) 937-0319 Fax:
Organization Subpart
No
Authorized Official
STEPHEN KLINGER
PART OWNER
Phone: (614) 937-0319
Updated
Identifiers

Identifiers for CRESCENT CITY DERMATOLOGY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI NUMBER1356531677
MEDICAIDLA1216887
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
LA 200999

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.