CLIFFORD ALVA HENDRICKS


Address: 3434 Prytania St, Suite 250, New Orleans, LA 70115-3532
Phone: 5048911988

CLIFFORD ALVA HENDRICKS (NPI# 1952341216) 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) 1952341216
Entity Type Individual
Full Name CLIFFORD ALVA HENDRICKS
Credential M.D.
Practice Address 3434 Prytania St
Suite 250
New Orleans
LA 70115-3532
Practice Telephone 5048911988
Practice Fax Number 5048991895
Mailing Telephone 5048911988
Mailing Fax Number 5048991895
Enumeration Date 2006-06-07
Last Update Date 2008-01-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 18445 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA RAILROAD MEDICARE CI2603 01
LA 1378640 05

Office Location

Street Address 3434 PRYTANIA ST
SUITE 250
City NEW ORLEANS
State LA
Zip Code 70115-3532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598762288 Gary J. Danos Surgery 3434 Prytania St, Suite 420, New Orleans, LA 70115-3532 2005-07-07
1396284774 Lmg LLC Orthopaedic Surgery 3434 Prytania St, Suite 430, New Orleans, LA 70115-3532 2017-02-17
1194277434 New Orleans Neuro-radiosurgery Center, LLC Clinic/Center 3434 Prytania St, Suite 120, New Orleans, LA 70115-3532 2016-11-03
1982049581 Uptown Plastic Surgery, Inc Plastic Surgery 3434 Prytania St, Suite #420, New Orleans, LA 70115-3532 2013-05-08
1629317417 Whitney Braswell Physical Therapist 3434 Prytania St, Su 310, New Orleans, LA 70115-3532 2013-02-14
1467706663 Hearing Clinic of Greater New Orleans, LLC Audiologist-Hearing Aid Fitter 3434 Prytania St, Suite 240, New Orleans, LA 70115-3532 2012-11-09
1598036816 Jason Cohen Specialist/Technologist 3434 Prytania St, Suite 430, New Orleans, LA 70115-3532 2012-01-18
1710203682 Ryan Charles Mascarenhas Internal Medicine 3434 Prytania St, Ste 300, New Orleans, LA 70115-3532 2010-04-15
1346563681 Charles Jarreau Nurse Practitioner 3434 Prytania St, Suite 300, New Orleans, LA 70115-3532 2010-03-01
1902047988 Leah Gonsoulin Jacob Dermatology 3434 Prytania St, Suite 310, New Orleans, LA 70115-3532 2009-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028223 Michael C O'hara Social Worker 2016 Jena Street, New Orleans, LA 70115 2020-09-22
1972156487 Allison Leigh Champagne Advanced Practice Midwife 4500 Clara St, New Orleans, LA 70115 2019-07-23
1558838151 Ouida Francis Forsyth Speech-Language Pathologist 3317 Chestnut Street, New Orleans, LA 70115 2018-11-01
1689149551 Uptown Pediatric Dentistry, LLC Dentist 3715 Prytania Street, Suite 380, New Orleans, LA 70115 2018-10-08
1396222188 Leggio Dental Group, Apdc Dentist 4914 Magazine St., New Orleans, LA 70115 2018-07-24
1093202525 Michael Anthony Bosco Physical Therapist 4500 Magazine St Ste 3, New Orleans, LA 70115 2018-04-19
1356854103 Jencare Neighborhood Medical Metairie, LLC. Non-Pharmacy Dispensing Site Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 2017-11-14
1669907879 Quinton Franklin Counselor 2537 Marengo St, New Orleans, LA 70115 2017-04-25
1073050340 Katy Elizabeth Thomassie Case Manager/Care Coordinator 1033 Marengo St, New Orleans, LA 70115 2017-01-25
1386187979 John Perkins Case Manager/Care Coordinator 1926 Constantinople St., New Orleans, LA 70115 2016-11-30
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104323864 Benjamin Lee Ophthalmology 533 Bolivar St Rm 459, New Orleans, LA 70112-1349 2018-04-10
1881126415 Francisca Zuazo Echenique Ophthalmology 1430 Tulane Ave, Sl50, Department of Internal Medicine, New Orleans, LA 70112 2017-04-02
1164886651 James Andrew David Ophthalmology 533 Bolivar St Rm 451b, New Orleans, LA 70112-1349 2016-04-11
1811239940 Ze Zhang Ophthalmology 1430 Tulane Ave # 8559, New Orleans, LA 70112 2013-03-27
1982946471 Jenna Bottorff Ophthalmology Po Box 8669, New Orleans, LA 70182-8669 2013-03-22
1164797411 Brett Budden Ophthalmology 5839 Argonne Blvd, New Orleans, LA 70124-3731 2012-03-20
1245508183 Eduardo Gonzalez-stubbe Ophthalmology 1121 General Pershing St, New Orleans, LA 70115 2011-12-07
1770807315 Benjamin Guidry Ophthalmology 1430 Tulane Ave # Sl-69, New Orleans, LA 70112-2632 2010-03-25
1508007576 An Hoai Nguyen Ophthalmology 5646 Read Blvd, Suite 180, New Orleans, LA 70127-3106 2009-03-20
1902073547 Michael William Worley Ophthalmology 3715 Prytania St Ste 504, New Orleans, LA 70115 2008-05-13
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Competitor

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City NEW ORLEANS
Zip Code 70115

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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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