Westside Dermatology Associates a Professional Medical Corporation
NPI 1588725808 · Specialist · Gretna, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Westside Dermatology Associates a Professional Medical Corporation is a Specialist organization in Gretna, LA (NPI 1588725808).
Provider details
- NPI number
- 1588725808
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gordon Russo, Physician(504) 391-7525
- License
- 015208 (LA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2010-03-04
Frequently asked questions
- What is Westside Dermatology Associates a Professional Medical Corporation's NPI number?
- Westside Dermatology Associates a Professional Medical Corporation's National Provider Identifier (NPI) is 1588725808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Westside Dermatology Associates a Professional Medical Corporation?
- Westside Dermatology Associates a Professional Medical Corporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Westside Dermatology Associates a Professional Medical Corporation located?
- Westside Dermatology Associates a Professional Medical Corporation's practice location on file with NPPES is 120 Meadowcrest St, Gretna, LA 70056-5255.
- What is Westside Dermatology Associates a Professional Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Westside Dermatology Associates a Professional Medical Corporation is (504) 391-7525.
- Does Westside Dermatology Associates a Professional Medical Corporation accept Medicare?
- Westside Dermatology Associates a Professional Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Westside Dermatology Associates a Professional Medical Corporation?
- The authorized official listed on Westside Dermatology Associates a Professional Medical Corporation's NPPES record is Gordon Russo, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Westside Dermatology Associates a Professional Medical Corporation's NPI active?
- Yes — Westside Dermatology Associates a Professional Medical Corporation's NPI (1588725808) is active in the NPPES registry as of the last update on 2010-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.