PONTCHARTRAIN CANCER CENTER INC (NPI# 1811916109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811916109 |
| Entity Type | Organization |
| Organization Name | PONTCHARTRAIN CANCER CENTER INC |
| Practice Address |
15799 Professional Plz Hammond LA 70403-1452 |
| Practice Telephone | 9854190025 |
| Practice Fax Number | 9854190035 |
| Mailing Telephone | 9854195220 |
| Mailing Fax Number | 9854190035 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | DR. DAVID NELSON OUBRE (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9854190025 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
022330 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1883883 | 05 |
| Street Address |
15799 PROFESSIONAL PLZ |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578233 | Ahmad Manouchehri Md Apmc | Internal Medicine | 15799 Professional Plz, Hammond, LA 70403-1452 | 2006-04-19 |
| 1811043599 | Renal Treatment Centers Southeast Lp | Clinic/Center | 15799 Professional Plz, Hammond, LA 70403-1452 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883305 | David Nelson Oubre | Internal Medicine | 15752 Medical Arts Plaza, Suite 101, Hammond, LA 70403 | 2006-05-01 |
| 1174821177 | Yameen Rashid | Internal Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2011-03-01 |
| 1477758951 | Hematology & Oncology Specialists LLC | Internal Medicine | 15784 Medical Arts Dr, Suite B, Hammond, LA 70403-1446 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996544 | Bethesda Medical Clinic Infusion Center LLC | Internal Medicine | 1620 Belle Chasse Hwy Ste 102, Terrytown, LA 70056-7057 | 2020-06-16 |
| 1336528355 | Lafayette Health Ventures, Inc. | Internal Medicine | 814 Jefferson Ter, New Iberia, LA 70560-5727 | 2015-05-22 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1760758221 | Thomas Stewart Atkinson | Internal Medicine | 2121 Ridgelake Dr Fl 4, Metairie, LA 70001 | 2012-03-29 |
| 1548535883 | Aurash Khoobehi | Internal Medicine | 4204 Houma Blvd 2nd Floor, Ej Hem/onc, Metairie, LA 70006-2968 | 2012-03-20 |
| 1265713572 | Shaista H. Faruqui, M.d. Apmc | Internal Medicine | 5320 Dijon Dr, Baton Rouge, LA 70808-4313 | 2011-08-31 |
| 1437449949 | Tyler Donald Lash | Internal Medicine | 2600 Kings Hwy Ste 340, Shreveport, LA 71103-3951 | 2011-04-18 |
| 1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
| 1942478805 | Bridgette Collins Burow | Internal Medicine | 1430 Tulane Ave # Sl-78, New Orleans, LA 70112-2632 | 2008-02-13 |
| 1760687230 | Hematology & Specialists LLC | Internal Medicine | 506 Rue De Sante, La Place, LA 70068-5418 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.