Chachere Provost Medicine, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CHACHERE PROVOST MEDICINE, LLC

Practice address

3975 I 49 S Service Rd
Suite 205a
Opelousas, LA 70570-0775

Phone

(337) 942-2323

Fax

(337) 942-2626

NPI assigned

Aug 6, 2007

Last updated

Feb 29, 2008By 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. Holly C. Provost, M.D.NPI 1356349245

Title

Owner

Phone

(337) 942-2323

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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.

• Holly C Provost, M.D.

  • Obstetrics & Gynecology Physician
  • Opelousas, LA
  • NPI 1356349245
  NPD (past) Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1780875740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 I 49 S SERVICE RD",
            "address_2": "SUITE 205A",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-942-2323",
            "fax_number": "337-942-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 I 49 S SERVICE RD",
            "address_2": "SUITE 205A",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-942-2323",
            "fax_number": "337-942-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHACHERE PROVOST MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-942-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0701037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160059334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7352418",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "4389889160",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Celestine
• Sondra Cummings Celestine, NURSE PRACTITIONER
• Centerwell Senior Primary Care (la) PC (CenterWell Senior Primary Care-Opelousas)
• Central Healthcare
• Central Healthcare
• Gerald Louis Chachere Jr., D.D.S.
• Jamie Alyce Chachere
• Katherine Chachere, CRNA
• David Chachkhiani, M.D.
• Jerry M. Chamberlain, PT

• Obstetrics & Gynecology Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.