CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION (NPI# 1265749519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265749519 |
Entity Type | Organization |
Organization Name | CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION |
Practice Address |
304 Circle Dr West Monroe LA 71291-5308 |
Practice Telephone | 3183884863 |
Practice Fax Number | 3183881144 |
Mailing Telephone | 3183884863 |
Mailing Fax Number | 3183881144 |
Enumeration Date | 2010-09-08 |
Last Update Date | 2011-11-01 |
Authorized Official Name | DR. CLYDE EDWIN ELLIOTT (PRESIDENT) |
Authorized Official Telephone | 3183884863 |
Authorized Official Credential | M. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
10533 | LA | Allopathic & Osteopathic Physicians |
Street Address |
304 CIRCLE DR |
City | WEST MONROE |
State | LA |
Zip Code | 71291-5308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326058918 | Clyde E Elliott | Family Medicine | 304 Circle Dr, West Monroe, LA 71291 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
Find all providers in zip 71291 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467927723 | Eugene and Oleander LLC | Family Medicine | 11715 Bricksome Ave Ste A6, Baton Rouge, LA 70816-2307 | 2018-10-12 |
1700305679 | Horizon Medical Treatment Centers | Family Medicine | 4313 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9679 | 2017-09-12 |
1609002799 | Michael Philip Melcher | Family Medicine | 2116 N Bolton Ave, Alexandria, LA 71303-4405 | 2009-06-03 |
1952556094 | Chad W Trosclair | Family Medicine | 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 | 2008-11-17 |
1750573747 | Louis Cataldie | Family Medicine | 6038 Jefferson Hwy, Baton Rouge, LA 70806-8013 | 2007-08-14 |
1154787554 | Ecl Group, LLC | Family Medicine | 2445 E Milton Ave, Youngsville, LA 70592-5346 | 2016-01-14 |
1073732541 | Douglas Wayne Cook | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2007-04-24 |
1821004078 | Georgette Somjen | Family Medicine | 4836 Wabash St, Suite 202, Metairie, LA 70001-6717 | 2006-07-31 |
1356363428 | John Cedric Dauphin | Family Medicine | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 | 2006-07-24 |
City | WEST MONROE |
Zip Code | 71291 |
Please comment or provide details below to improve the information on CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION.
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.