Organization Active NPI

Holland J Pitre MD Apmc

  • Medical Specialty Clinic/Center
  • Houma, LA
National Provider Identifier
1700181997
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
12026 Issued in LA
Legal business name
HOLLAND J PITRE MD APMC
Practice address
12 Professional Dr
Houma, LA 70360-4046
Phone
(985) 868-1810
Fax
(985) 876-3670
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tina T Levron
Title
Clinic Administrator
Phone
(985) 868-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 12026 LA Primary

Addresses

Primary practice location

12 Professional Dr
Houma, LA 70360-4046

Mailing address

12 Professional Drive
Houma, LA 70360-4086
Phone (985) 868-1810

Other identifiers 2

IdentifierTypeStateIssuer
1467418152OtherLANPIN
1190047MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1700181997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604086",
            "telephone_number": "985-868-1810",
            "fax_number": "985-876-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604046",
            "telephone_number": "985-868-1810",
            "fax_number": "985-876-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND J PITRE MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "LEVRON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "985-868-1810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "12026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN",
            "identifier": "1467418152",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190047",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.