GERRY G PROVANCE (NPI# 1063555662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063555662 |
| Entity Type | Individual |
| Full Name | GERRY G PROVANCE |
| Credential | D.C. |
| Practice Address |
2007 Clearview Pkwy Metairie LA 70001-2404 |
| Practice Telephone | 5044569296 |
| Practice Fax Number | 5044569799 |
| Mailing Telephone | 5044569296 |
| Mailing Fax Number | 5044569799 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
414 | LA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1951340 | 05 | |
| LA | BLUE CROSS ID | C8327 | 01 |
| Street Address |
2007 CLEARVIEW PKWY |
| City | METAIRIE |
| State | LA |
| Zip Code | 70001-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285045 | Ryan Craig Gutz | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2020-01-31 |
| 1427563469 | Phillip Anthony Lirette I | Massage Therapist | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2017-12-13 |
| 1912418518 | Michelle Marie Le Blanc | Massage Therapist | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2017-10-23 |
| 1669850152 | Provance Chiropractic Sports and Wellness, L.L.C. | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2015-05-15 |
| 1548652209 | Vince Stadelman | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2015-03-04 |
| 1407161367 | Amy E. Arton | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2010-08-16 |
| 1790917490 | Provance Chiropractic Sport, Family & Rehab | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2009-08-13 |
| 1538398268 | James Elliot Rizer | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
| 1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
| 1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
| Find all providers in zip 70001 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118934 | Richard Joseph Hages Jr. | Chiropractor | 6601 Veterans Memorial Blvd, #39, Metairie, LA 70003-3943 | 2006-03-16 |
| 1669850152 | Provance Chiropractic Sports and Wellness, L.L.C. | Chiropractor | 2007 Clearview Pkwy, Metairie, LA 70001-2404 | 2015-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578987244 | Albany Chiropractic LLC | Chiropractor | 28470 La Hwy 43 Suite B, Albany, LA 70711 | 2014-02-14 |
| 1235208547 | William J Ellender | Chiropractor | 7835 Park Ave, Houma, LA 70364-3112 | 2006-11-08 |
| 1619046992 | Shay Weston Corbin | Chiropractor | 12216 Jackson Road, Saint Francisville, LA 70775 | 2006-11-08 |
| 1285612150 | Meril Joseph Dufrene, Jr. | Chiropractor | 3327 Jackson St, Suite F, Alexandria, LA 71301-3372 | 2006-01-02 |
| 1043779523 | Keith A Terro II Dc LLC | Chiropractor | 224 Saint Landry St Ste 2a, Lafayette, LA 70506-3549 | 2019-03-14 |
| 1982007092 | Mcgraw Chiropractic Clinic, Inc. | Chiropractor | 565 Main St, Many, LA 71449-3028 | 2014-10-02 |
| 1558798058 | The Ryder Clinic, LLC | Chiropractor | 6555 Perkins Rd, Ste 200, Baton Rouge, LA 70808-4237 | 2013-09-30 |
| 1801233879 | Swc Medical, LLC | Chiropractor | 7417 Jefferson Hwy, Baton Rouge, LA 70806-8205 | 2013-05-30 |
| 1740540442 | Ashley Chanell Blanche | Chiropractor | 1525 Lapalco Blvd, Harvey, LA 70058-5738 | 2012-05-29 |
| 1215242045 | Patrick W. Bourque, D.c., Inc | Chiropractor | 17487 Old Jefferson Hwy, Suite D, Prairieville, LA 70769-4043 | 2010-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GERRY G PROVANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.