CLAYTON CHARLES ROBERTS (NPI# 1043715212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043715212 |
| Entity Type | Individual |
| Full Name | CLAYTON CHARLES ROBERTS |
| Credential | SA-C |
| Practice Address |
3311 Prescott Rd Ste 202 Alexandria LA 71301-3983 |
| Practice Telephone | 3184420106 |
| Practice Fax Number | 3184488918 |
| Mailing Telephone | 3184420106 |
| Mailing Fax Number | 3184488918 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | AMERICAN BOARD OF SURGICAL ASSISTANTS | 17-640 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174695530 | Clayton K Roberts | Family Medicine | 910 S Kimball Ave, Southlake, TX 76092-9005 | 2006-11-14 |
| Street Address |
3311 PRESCOTT RD STE 202 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104984293 | Louisiana Cardiovascular & Thoracic Institute, LLC | Specialist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2006-12-04 |
| 1104471325 | Amanda B Scully | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-08-05 |
| 1356900716 | Cydnie Cooper Plaisance | Nurse Practitioner | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-06-10 |
| 1588155006 | Courtnie Clark Graves | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-05-21 |
| 1104323989 | Jeremy Lynn Brazzell | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-04-09 |
| 1881065647 | Katie Van Hoof Peterson | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-19 |
| 1164892204 | Kacey Rae Buckner Lopez | Physician Assistant | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-01 |
| 1861808420 | Heath Nichols | Respiratory Therapist, Registered | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2014-07-03 |
| 1235576364 | John H Bowling | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-30 |
| 1568809747 | Troy J Pavlovich | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679720395 | Capital Surgical Services Inc | Specialist/Technologist, Other | 205 Yoakum Pkwy # 2, Suite 1016, Alexandria, VA 22304-3800 | 2008-08-25 |
| 1457525669 | Sergey L Minasyan | Specialist/Technologist, Other | 205 Yoakum Pkwy, 1016, Alexandria, VA 22304-3800 | 2008-04-17 |
| 1740466689 | Amine Toufic Tarabey | Specialist/Technologist, Other | 205 Yoakum Pkwy Unit 1016, Alexandria, VA 22304-3825 | 2008-01-10 |
| 1801070958 | Muhammed M Zaydan | Specialist/Technologist, Other | 3343 Wilton Crest Ct, Alexandria, VA 22310-2355 | 2007-12-26 |
| 1700913704 | Physicians Choice First Assisting Inc | Specialist/Technologist, Other | 55 Stonesthrow Ct, Alexandria, OH 43001-8779 | 2007-02-27 |
| 1801400643 | Cds First Assisting Inc | Specialist/Technologist, Other | 55 Stonesthrow Ct, Alexandria, OH 43001-8779 | 2020-08-31 |
| 1710521224 | Best First Assisting Inc | Specialist/Technologist, Other | 55 Stonesthrow Ct, Alexandria, OH 43001-8779 | 2019-10-29 |
| 1104471325 | Amanda B Scully | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-08-05 |
| 1881155240 | Coles First Assisting Inc | Specialist/Technologist, Other | 55 Stonesthrow Ct, Alexandria, OH 43001-8779 | 2019-03-28 |
| 1053818476 | Big Red First Assisting Inc | Specialist/Technologist, Other | 55 Stonesthrow Ct, Alexandria, OH 43001-8779 | 2018-04-11 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.