DIMITRI DERMATOLOGY
NPI 1821285974
Dermatology in Slidell, LA

Active since October 02, 2007
2104 GAUSE BLVD W, SUITE A, SLIDELL, LA 70460(985) 643-4575(985) 643-4513 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2020, Dec 11, 2015, Nov 24, 2015 (3 updates tracked since 2015).

About Dimitri Dermatology NPPES

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

DIMITRI DERMATOLOGY (NPI 1821285974) is a healthcare organization registered as a dermatology in Slidell, Louisiana and active in the NPI registry since October 2007. The organization maintains a secondary practice location in Bay St Louis and lists Karen R Drake, General Manager, as its authorized official.

NPPES Registry Identity

NPI1821285974
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameE. M. DIMITRI, D.O. PMC
Location Address2104 GAUSE BLVD W, SUITE ASlidell, LA 70460-4130
Mailing Address2104 Gause Blvd W, Suite ASlidell, LA 70460-4130 · (985) 643-4512 · Fax (985) 643-4513
Fax(985) 643-4513
Organization SubpartNo
Authorized OfficialKaren R DrakeGeneral Manager · (504) 229-7451
Enumeration DateOctober 2, 2007
Last NPPES UpdateJanuary 31, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1821285974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in LA · 14885R
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.

2104 GAUSE BLVD W, Slidell, LA 70460

Other Names 2

Doing Business AsDimitri Dermatology
Doing Business AsMississippi Skin And Psoriasis Center

Secondary Practice Location 1

Location 1151 Thames AveBay St Louis, MS 39520-5002 · Phone (228) 467-9905 · Fax (833) 222-4520

Other Identifiers 2

Medicaid07454201MS
Medicaid2109511LA

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

Accepted Insurance

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dermatology (Dermatopathology)
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
Physician Assistant
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
General Practice
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
General Practice
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
General Practice
2104 GAUSE BLVD W, SUITEA
SLIDELL, LA 70460
Dermatology
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
Nurse Practitioner (Family)
2104 GAUSE BLVD W, STE A
SLIDELL, LA 70460
Physician Assistant
2104 GAUSE BLVD W
SLIDELL, LA 70460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821285974, enumerated as an "organization" on October 02, 2007.

The provider is located at 2104 GAUSE BLVD W SUITE A SLIDELL, LA 70460 and the phone number is (985) 643-4575.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.