OrganizationActive
Northshore Plastic Surgery, LLC
NPI 1568690469 · Plastic Surgery Physician · Mandeville, LA
Provider details
- NPI number
- 1568690469
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Boudreaux, Manager(225) 588-4644
- License
- MD.201940 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3401 E Causeway Approach
Mandeville, LA 70448-3447
Phone: (985) 237-6050
Street-level locationGet directions
Mailing address
3401 E Causeway Approach
Mandeville, LA 70448-3447
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.