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DOUGLAS E PROVOST MD
NPI 1386633634
Obstetrics & Gynecology in Queensbury, NY

Active since October 19, 2005
161 CAREY RD, QUEENSBURY, NY 12804(518) 824-8610 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas E Provost Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS E PROVOST MD (NPI 1386633634) is an individual obstetrics & gynecology provider in Queensbury, New York, licensed in New York (134188) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1386633634
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDOUGLAS E PROVOSTCredential: MD
Location Address161 CAREY RDQueensbury, NY 12804-7821
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 824-8610
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateDecember 22, 2015
✔ NPI 1386633634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 134188
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
161 CAREY RD, Queensbury, NY 12804
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Other Identifiers 7

Medicare UPINB82190
Other16454Mvp
Medicaid00460999NY
Other000405036002Blue Shield
Other10001652Cdphp
Medicare PIN38780BNY
OtherDP077E5610Ebs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN M KEIL PA-C
Physician Assistant
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
HUDSON HEADWATERS HEALTH NETWORK
Clinic/Center (Primary Care)
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
KAREN L MARDEN LCSW-R
Social Worker (Clinical)
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
JENNY M.S. MACK AGNP
Nurse Practitioner (Adult Health)
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
JUDY A PODZIEWSKI FNP-BC
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
KRISTY MARIE FARMER DO
Family Medicine
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
CHERYL ANN MARINO FNP
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610
PATRICIA A AUER DNP
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Warren County (518) 824-8610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Provost's NPI number?

The NPI number for Douglas Provost is 1386633634. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Douglas Provost located?

Douglas Provost practices at 161 Carey Rd, Queensbury, NY 12804. The listed phone number is (518) 824-8610.

What is Douglas Provost's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Douglas Provost was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.