DOUGLAS E PROVOST MD
NPI 1386633634
Obstetrics & Gynecology in Queensbury, NY
- Individual
- Male
- Obstetrics & Gynecology
- CLIA Number: 33D1055507
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-19-2026
About DOUGLAS PROVOST
This page provides the complete NPI Profile along with additional information for Douglas Provost, a women's health care provider established in Queensbury, New York with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1386633634 assigned on October 2005. The practitioner's primary taxonomy code is 207V00000X with license number 134188 (NY). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1386633634 Verify this NPI
- Provider Name
- DOUGLAS E PROVOST MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 161 CAREY RD QUEENSBURY, NY 12804
- Location Phone
- (518) 824-8610
- Mailing Address
- 9 CAREY RD QUEENSBURY, NY 12804
- Mailing Phone
- (518) 761-0300
- Mailing Fax
- (518) 824-2388
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2005
- Last Update Date
- 12-22-2015
- Code Navigator
Women's health care providers like Douglas Provost treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 134188
- License State
- NY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B82190 | MEDICARE UPIN (02) | ||
| 16454 | OTHER (01) | MVP | |
| 00460999 | MEDICAID (05) | NY | |
| 000405036002 | OTHER (01) | BLUE SHIELD | |
| 10001652 | OTHER (01) | CDPHP | |
| 38780B | MEDICARE PIN (08) | NY | |
| DP077E5610 | OTHER (01) | EBS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D1055507
- Facility Type
- Physician Office
- Certificate Effective Date
- June 20, 2024
- Certificate Expiration Date
- June 19, 2026
- Laboratory Director
- DOUGLAS C. CLINE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Douglas Provost to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
QUEENSBURY, NY 12804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386633634, enumerated as an "individual" on October 19, 2005.
The provider is located at 161 CAREY RD QUEENSBURY, NY 12804 and the phone number is (518) 824-8610.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
