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DIMITRI DERMATOLOGY
NPI 1285993337
Dermatology in Bay St Louis, MS

Active since May 10, 2012
624 HIGHWAY 90, BAY ST LOUIS, MS 39520(228) 467-5644(228) 467-9961 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dimitri Dermatology NPPES

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

DIMITRI DERMATOLOGY (NPI 1285993337) is a healthcare organization registered as a dermatology in Bay St Louis, Mississippi and active in the NPI registry since May 2012. The organization lists Karen Rachel Drake, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1285993337
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEM DIMITRI DO PMC
Location Address624 HIGHWAY 90Bay St Louis, MS 39520-2715
Mailing Address300 Gateway DrSlidell, LA 70461-5540 · (985) 643-4512 · Fax (985) 643-4513
Phone(228) 467-5644
Fax(228) 467-9961
Organization SubpartNo
Authorized OfficialKaren Rachel DrakeCredentialing Coordinator · (985) 643-4512
Enumeration DateMay 10, 2012
✔ NPI 1285993337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in LA · 14885R✔ Licensed in MS · 21866
Definition
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.
624 HIGHWAY 90, Bay St Louis, MS 39520
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Other Names 1

Doing Business AsDimitri Dermatology

Other Identifiers 1

Medicaid07454201MS

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW PETER BRENNAN MD
General Practice
624 HIGHWAY 90
BAY ST LOUIS, MS 39520
Hancock County (228) 467-9905

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 Em Dimitri Do Pmc's NPI number?

The NPI number for Em Dimitri Do Pmc is 1285993337. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Dimitri Dermatology.

Where is Em Dimitri Do Pmc located?

Em Dimitri Do Pmc is located at 624 Highway 90, Bay St Louis, MS 39520. The listed phone number is (228) 467-5644.

What is Em Dimitri Do Pmc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Em Dimitri Do Pmc was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.