Healthcare Provider Details

I. General information

NPI: 1497597322
Provider Name (Legal Business Name): JOSEPH POMAVILLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 06/11/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NORTH OAKS MEDICAL CENTER 15799 PAUL VEGA MD DR.
HAMMOND LA
70403-1434
US

IV. Provider business mailing address

NORTH OAKS MEDICAL CENTER 15799 PAUL VEGA MD DR.
HAMMOND LA
70403-1434
US

V. Phone/Fax

Practice location:
  • Phone: 985-345-2700
  • Fax:
Mailing address:
  • Phone: 985-345-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: