THOMAS NICOTRI JR MD LLC – NPI #1487727921
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

THOMAS NICOTRI JR MD LLC is a dermatologist located in MANDEVILLE, LA. NPPES has assigned the NPI number 1487727921 to THOMAS NICOTRI JR MD LLC on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 19 years ago on Nov 05, 2007. 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 THOMAS NICOTRI JR MD LLC below.

NPI Profile for
THOMAS NICOTRI JR MD LLC

NPI Number
1487727921
Enumeration Date

(more than 19 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
THOMAS NICOTRI JR MD LLC
Primary location
1305 W CAUSEWAY APPROACH STE 209
MANDEVILLE, LA 70471-3043
Phone: (985) 626-6996 Fax: (985) 626-6995
Mailing address
PO BOX 1536
MANDEVILLE, LA 70470-1536
Phone: (985) 662-6699 Fax: (985) 626-6995
Organization Subpart
No
Authorized Official
THOMAS NICOTRI
PRESIDENT
Phone: (985) 626-6996
Updated
Identifiers

Identifiers for THOMAS NICOTRI JR MD 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
MEDICAIDLA1485268
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
207ND0900X
- Dermatology / Dermatopathology (Primary)
LA 023801

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.