DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION
NPI 1972591170
Dermatology in Baton Rouge, LA

Q: What is Dermatology Clinic A Professional Medical Corporation's specialty?

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

Active since October 11, 2005CLIA 19D2080688 · Microscopy

5326 O'DONOVAN DRIVE, BATON ROUGE, LA 70808(225) 769-7546(225) 769-0471 Get Directions Write a Review

NPPES record last updated: April 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dermatology Clinic A Professional Medical Corporation NPPES

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

DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION (NPI 1972591170) is a healthcare organization registered as a dermatology in Baton Rouge, Louisiana and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through July 13, 2028 and lists Harry A Burglass, Md President, as its authorized official.

NPPES Registry Identity

NPI1972591170

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION

Location Address5326 O'DONOVAN DRIVEBaton Rouge, LA 70808-9153

Mailing Address5326 O'donovan DriveBaton Rouge, LA 70808-9153 · (225) 769-7546 · Fax (225) 769-0471

Phone(225) 769-7546

Fax(225) 769-0471

Organization SubpartNo

Authorized OfficialHarry A BurglassMd President · (225) 769-7546

Enumeration DateOctober 11, 2005

Last NPPES UpdateApril 4, 2008

✔ NPI 1972591170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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.

5326 O'DONOVAN DRIVE, Baton Rouge, LA 70808

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Other Identifiers 2

Medicaid1113247LA

Medicare ID-Type Unspecified5B487

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2080688

Dermatology Clinic · Walker, LA

Active · expires Jul 13, 2028

CLIA Number19D2080688

Laboratory TypePhysician Office

Certificate Effective DateJuly 14, 2026

Certificate Expiration DateJuly 13, 2028

Laboratory DirectorNicole M. Harrell

Laboratory Phone(225) 769-7546

Laboratory LocationDermatology Clinic5000 O'donovan Boulevard, Walker, LA 70785

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

TOM J MEEK JR. MD

Dermatology