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Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC

NPI 1447248166ActiveOrganization· Dermatology· Lake Charles, LA

Dermatology in Lake Charles, Louisiana, registered in NPPES in October 2005. The authorized official on file is Shondra L. Smith, MD, Owner/Md. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1447248166
StatusActive
Entity typeOrganization
NPI issuedOct 6, 2005
Last updated in NPPESMay 4, 2026
Certified by providerMay 4, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (LA)

Medicare sources and data years

Other Dermatology providers in Lake Charles

All Dermatology providers in Louisiana →