Pontchartrain Cancer Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

22330 Issued in LA

Legal business name

PONTCHARTRAIN CANCER CENTER

Practice address

120 Lakeview Cir
Covington, LA 70433-7512

Phone

(985) 875-1202

Fax

(985) 875-1205

NPI assigned

Mar 16, 2011

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Nelson Oubre, M.D.,NPI 1104883305

Title

M.D.,/ Owner

Phone

(985) 419-0025

Specialties & licenses 4

Addresses

Other identifiers 3

Tax ID family

Pontchartrain Cancer Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pontchartrain Cancer Center Inc

  • Hematology & Oncology Physician
  • Hammond, LA
  • NPI 1811916109
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Nelson Oubre, M.D.

  • Hematology & Oncology Physician
  • Hammond, LA
  • NPI 1104883305
  NPD Authorized official
• Kamie S. Williams, AGNP-C

  • Nurse Practitioner
  • Covington, LA
  • NPI 1689205577
  NPD
• Jessica Bosch Bordelon, APRN

  • Nurse Practitioner
  • Hammond, LA
  • NPI 1043585854
  NPD (past)
• Cassie Brassette Peart, N.P-C

  • Family Nurse Practitioner
  • Metairie, LA
  • NPI 1821386186
  NPD (past)
• Alison Mae Rome, MD

  • Hematology & Oncology Physician
  • Houston, TX
  • NPI 1790998078
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1710286794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15752 MEDICAL ARTS PLAZA",
            "address_2": "SUITE 101",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-419-0025",
            "fax_number": "985-875-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-875-1202",
            "fax_number": "985-875-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "OUBRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "M.D.,/ OWNER",
        "authorized_official_telephone_number": "985-419-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "203749",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "RN083847-AP04197",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "22330",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478377",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1665878",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883883",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Russell Pleune, PH.D.
• Sarah D Pokorny, MSW
• Tamira Polk
• Julie S. Ponder, C-WHNP
• Whitney Burke Ponseti
• Pontchartrain Diagnostic Imaging LLC
• Pontchartrain Pediatrics LLC
• Pontchartrain Psychological Resources, LLC
• Pontchartrain Sleep Medicine, LLC
• Pontchartrain Surgery Center LLC

• Specialist in Covington, LA
• Providers in Covington, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.