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: July 19, 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
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

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


The following 1 provider is registered at the same or a nearby location.

General Practice
624 HIGHWAY 90
BAY ST LOUIS, MS 39520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285993337, enumerated 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.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.