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ESTHETIC MD
NPI 1235643891
Family Medicine in Slidell, LA

Active since November 18, 2017
3769 PONTCHARTRAIN DR STE 3, SLIDELL, LA 70458(985) 641-5476 Get Directions Write a Review

NPPES record last updated: November 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Esthetic Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTHETIC MD (NPI 1235643891) is a healthcare organization registered as a family medicine in Slidell, Louisiana and active in the NPI registry since November 2017. The organization lists Jennifer Robin Bonney, Manager/ Billing, as its authorized official.

NPPES Registry Identity

NPI1235643891
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameESTHETIC MD
Location Address3769 PONTCHARTRAIN DR STE 3Slidell, LA 70458-4852
Mailing Address3769 Pontchartrain Dr Ste 3Slidell, LA 70458-4852 · (985) 641-5476
Phone(985) 641-5476
Organization SubpartNo
Authorized OfficialJennifer Robin BonneyManager/ Billing · (228) 254-0495
Enumeration DateNovember 18, 2017
✔ NPI 1235643891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.206408
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X · License MD016771 (LA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 16771 (LA)
3769 PONTCHARTRAIN DR STE 3, Slidell, LA 70458
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Esthetic MD's NPI number?

The NPI number for Esthetic MD is 1235643891. It was assigned to this organization in the NPPES registry on November 18, 2017.

Where is Esthetic MD located?

Esthetic MD is located at 3769 Pontchartrain Dr Ste 3, Slidell, LA 70458. The listed phone number is (985) 641-5476.

What is Esthetic MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Esthetic MD was last updated on November 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.