Provider Demographics
NPI:1013906320
Name:CARRIERE, VERNON J (MD)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:J
Last Name:CARRIERE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4200 HOUMA BLVD
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006
Mailing Address - Country:US
Mailing Address - Phone:504-503-6781
Mailing Address - Fax:504-503-5667
Practice Address - Street 1:4228 HOUMA BLVD STE 410
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3021
Practice Address - Country:US
Practice Address - Phone:504-883-3770
Practice Address - Fax:504-883-3711
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2022-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA16167207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1366773Medicaid
LAF8575OtherBCBS OF LA
LA1366773Medicaid
LAF8575OtherBCBS OF LA