DIMITRI DERMATOLOGY
NPI 1285993337
Dermatology in Bay St Louis, MS

NPI Status: Active since May 10, 2012

Contact Information

624 HIGHWAY 90
BAY ST LOUIS, MS
ZIP 39520
Phone: (228) 467-5644
Fax: (228) 467-9961

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  • Organization
  • Dermatology

About DIMITRI DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Dimitri Dermatology, a provider established in Bay St Louis, Mississippi operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1285993337 assigned on May 2012. The practitioner's primary taxonomy code is 207N00000X with license number 14885R (LA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Dimitri Dermatology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Dimitri Dermatology. The authorized official of this NPI record is Karen Rachel Drake (Credentialing Coordinator)

NPI
1285993337
Provider Legal Name
EM DIMITRI DO PMC
Other Organization Name
DIMITRI DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
624 HIGHWAY 90 BAY ST LOUIS, MS 39520
Location Phone
(228) 467-5644
Location Fax
(228) 467-9961
Mailing Address
300 GATEWAY DR SLIDELL, LA 70461
Mailing Phone
(985) 643-4512
Mailing Fax
(228) 467-9961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2012
Last Update Date
05-10-2012
Code Navigator

A dermatologist like Dimitri Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
14885R
License State
LA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

21866 (MS)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN RACHEL DRAKE

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(985) 643-4512

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07454201MEDICAID (05)MS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285993337
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165189636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 8 + 9 + 6 + 3 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1285993337 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174799688DR. MATTHEW PETER BRENNAN MD
Individual
General Practice624 HIGHWAY 90
BAY ST LOUIS, MS 39520
(228) 467-9905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285993337, enumerated in the NPI registry as an "organization" on May 10, 2012

The provider is located at 624 Highway 90 Bay St Louis, Ms 39520 and the phone number is (228) 467-5644

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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