Pontchartrain Cancer Center Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

022330 Issued in LA

Legal business name

PONTCHARTRAIN CANCER CENTER INC

Practice address

15799 Professional PLZ
Hammond, LA 70403-1452

Phone

(985) 419-0025

Fax

(985) 419-0035

NPI assigned

Jul 18, 2006

Last updated

May 15, 2019By 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

Physician/Owner

Phone

(985) 419-0025

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

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

  • Specialist
  • Covington, LA
  • NPI 1710286794
  NPD tax ID

Locations

Practitioners 4

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
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Bosch Bordelon, APRN

  • Nurse Practitioner
  • Hammond, LA
  • NPI 1043585854
  Medicare reassignment Care Compare group NPD
• Cassie Brassette Peart, N.P-C

  • Family Nurse Practitioner
  • Metairie, LA
  • NPI 1821386186
  Medicare reassignment Care Compare group NPD
• Kamie S. Williams, AGNP-C

  • Nurse Practitioner
  • Covington, LA
  • NPI 1689205577
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1811916109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15799 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-5220",
            "fax_number": "985-419-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15799 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-0025",
            "fax_number": "985-419-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN CANCER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "OUBRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-419-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "022330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883883",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blaise V Polito, D.D.S.
• Patricia Ann Polito, BACHERLORS
• Joseph Pomaville, MD
• Ponchatoula Nursing Home, LLC
• Ponchatoula Nursing Home, LLC (Belle Maison Nursing Home)
• Carol Ann Pooley, MSW, LCSW
• Gelise Marie Porter, DDS
• Marya Jancinta Porter, M.D.
• Mason G Porter, DPT
• Norma Bianca Porter, PLPC

• Hematology & Oncology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Hematology & Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.