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Integrated Dermatology of Ponchatoula, LLC

Dermatology Physician in Ponchatoula, LA · enumerated 2015 · authorized official Jeffrey Queen, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508234600

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Registry record

Entity type Organization (Type 2)
Legal business name Integrated Dermatology of Ponchatoula, LLC
Practice address 180 N 5th St, Ponchatoula, LA, 70454
Phone (985) 370-7546
Enumeration date Sep 4, 2015
Last updated in NPPES May 21, 2019

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jeffrey Queen
Title Manager
Phone (561) 314-2000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Integrated Dermatology of Ponchatoula, LLC?
The NPI for Integrated Dermatology of Ponchatoula, LLC is 1508234600, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Integrated Dermatology of Ponchatoula, LLC?
NPPES lists Jeffrey Queen (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-21.