CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION


Address: 304 Circle Dr, West Monroe, LA 71291-5308
Phone: 3183884863

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
10533 LA Allopathic & Osteopathic Physicians

Office Location

Street Address 304 CIRCLE DR
City WEST MONROE
State LA
Zip Code 71291-5308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326058918 Clyde E Elliott Family Medicine 304 Circle Dr, West Monroe, LA 71291 2006-08-08

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City WEST MONROE
Zip Code 71291

Improve Information

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Dataset Information

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.

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