DR. CLYDE R ROY III (NPI# 1720085699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720085699 |
| Entity Type | Individual |
| Full Name | DR. CLYDE R ROY III |
| Credential | MD |
| Practice Address |
602 N Lewis St Suite 400 New Iberia LA 70563-2093 |
| Practice Telephone | 3373654113 |
| Practice Fax Number | 3073654115 |
| Mailing Telephone | 3373654113 |
| Mailing Fax Number | 3073654115 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 016789 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1969290 | 05 |
| Street Address |
602 N LEWIS ST SUITE 400 |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891955415 | Surgical Group A Medical Corporation | Specialist | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2008-06-17 |
| 1003086018 | Tim F. Himel, M.d., Apmc | Psychiatry & Neurology | 602 N Lewis St, Suite 500, New Iberia, LA 70563-2093 | 2008-03-05 |
| 1518094010 | Iberia Dermatology | Dermatology | 602 N Lewis St, Suite 600, New Iberia, LA 70563-2093 | 2007-02-28 |
| 1740317221 | Mark B. Charbonnet, Md Apmc | Internal Medicine | 602 N Lewis St, Suite 600, New Iberia, LA 70563-2093 | 2007-02-28 |
| 1891718177 | Mark Barton Charbonnet | Internal Medicine | 602 N Lewis St, Suite 600, New Iberia, LA 70563-2093 | 2006-07-26 |
| 1144222563 | William W Harkrider Jr. | Surgery | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2005-08-15 |
| 1649272063 | Kurt B Obrien | Surgery | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2005-08-15 |
| 1669473138 | Noninvasive Vascular Lab Inc | Radiology | 602 N Lewis St, Ste 100, New Iberia, LA 70563-2093 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881754851 | The Urology Clinic | Urology | 602 N Lewis St Ste 400, New Iberia, LA 70563-2093 | 2006-12-11 |
| 1093703035 | David C Benson | Urology | 665 E Main St, New Iberia, LA 70560-3821 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1326483678 | Tonye A Jones Jr. | Urology | 105 Medical Center Dr Ste 202, Slidell, LA 70461-5538 | 2013-04-30 |
| 1174966600 | Matthew Donald Strain | Urology | 1111 Medical Center Blvd Ste 650, Marrero, LA 70072 | 2013-04-15 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1336436252 | Omer Raheem | Urology | 3525 Prytania St Ste 614, New Orleans, LA 70115 | 2011-06-29 |
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1164730917 | Jed Robinson | Urology | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2010-09-15 |
| 1508181421 | Alvin Simon Merlin | Urology | 4525 Hessmer Ave, Metairie, LA 70002-1525 | 2010-04-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
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| 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.