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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: August 09, 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
Phone(985) 643-4575
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. JOEL E PERDOMO M.D.
General Practice
2104 GAUSE BLVD W, SUITEA
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4575
SASHA SCOTT KONRAD PA-C
Physician Assistant
2104 GAUSE BLVD W
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4575
MS. ELIZABETH M DIMITRI D.O.
Dermatology
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4575
MIYAGI HENDERSON
Nurse Practitioner (Family)
2104 GAUSE BLVD W, STE A
SLIDELL, LA 70460
St. Tammany Parish (504) 229-7454
DR. MEHDI MOSADEGH M.D.
Dermatology (Dermatopathology)
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4575
JORGE L CRUZ M.D.
General Practice
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4512
DR. THOMAS J ORGERON M.D.
General Practice
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4575
MR. MARK D. CALLENDER P.A.
Physician Assistant
2104 GAUSE BLVD W, STE. A
SLIDELL, LA 70460
St. Tammany Parish (985) 643-4575

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 E. M. Dimitri, D.O. Pmc's NPI number?

The NPI number for E. M. Dimitri, D.O. Pmc is 1821285974. It was assigned to this organization in the NPPES registry on October 2, 2007. The provider is doing business as Dimitri Dermatology and Mississippi Skin and Psoriasis Center.

Where is E. M. Dimitri, D.O. Pmc located?

E. M. Dimitri, D.O. Pmc is located at 2104 Gause Blvd W Suite A, Slidell, LA 70460. The listed phone number is (985) 643-4575.

What is E. M. Dimitri, D.O. Pmc's specialty?

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

What insurance does E. M. Dimitri, D.O. Pmc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Ambetter of Alabama and 5 other insurers list E. M. Dimitri, D.O. Pmc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for E. M. Dimitri, D.O. Pmc was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.